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Related Experiment Videos

Changing indications for tracheostomy in maxillofacial trauma

S Taicher1, N Givol, M Peleg

  • 1Chaim Sheba Medical Center, Tel Hashomer, Israel.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|March 1, 1996
PubMed
Summary

Tracheostomy for airway management in maxillofacial trauma patients should be reconsidered. Advances in fracture fixation reduce the need for this surgical airway, suggesting alternative methods are often preferable.

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Area of Science:

  • Maxillofacial Surgery
  • Trauma Management
  • Airway Management

Background:

  • Tracheostomy is a common surgical procedure for airway maintenance.
  • It is associated with potential complications.
  • Indications for tracheostomy require reevaluation in light of modern surgical techniques.

Purpose of the Study:

  • To reevaluate the indications for tracheostomy in managing airways.
  • To assess the necessity of tracheostomy in the context of current maxillofacial trauma treatment.

Main Methods:

  • A retrospective review of 399 patients with maxillofacial trauma treated between 1985 and 1992.
  • Evaluation of fracture types and airway problems encountered.
  • Analysis of reasons for tracheostomy in a subset of patients.

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Main Results:

  • 13 out of 399 patients required tracheostomy.
  • Reasons included prior cricothyroidotomy (6), impending airway obstruction (3), respiratory distress (3), and intubation difficulty (1).

Conclusions:

  • Surgical airway securing via tracheostomy needs revision in current practice.
  • Modern rigid fixation techniques and open-mouth management reduce the historical necessity of frequent tracheostomies for airway security.