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Pediatric Tracheotomy: Comparison of surgical technique with early and late complications in 273 cases

Murat Gumussoy1

  • 1Murat Gumussoy, M.D. Assistant Professor, Otorhinolaryngologist, Department of Otolaryngology Head and Neck Surgery, University of Health Sciences, Izmir Tepecik Training and Research Hospital, Izmir, Turkey.

Pakistan Journal of Medical Sciences
|March 19, 2019
PubMed

Insights

Pediatric tracheotomy complications depend on surgical factors. Key elements like incision type, surgeon experience, and intubation duration influence both early and late adverse events.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Critical Care Medicine

Background:

  • Tracheotomy is a common procedure in pediatric patients.
  • Understanding factors influencing complications is crucial for patient outcomes.

Purpose of the Study:

  • To compare early and late complications of pediatric tracheotomy.
  • To identify the relationship between surgical techniques and complication rates.

Main Methods:

  • Retrospective analysis of pediatric patient files.
  • Comparison of demographic characteristics and surgical techniques with post-operative complications.

Main Results:

  • 152 out of 273 patients experienced complications.
  • Early complications linked to skin/tracheal incision, surgical time, and surgeon skill.
  • Late complications associated with intubation time, tracheal incision, and surgeon skill.

Conclusions:

  • Surgical technique, surgeon experience, and intubation time are critical factors in pediatric tracheotomy complications.
  • Specific incision types and procedure duration correlate with early and late adverse events.
Abstract

Keywords:
ComplicationsIndicationsPediatric tracheotomySurgical technique

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