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KMID : 0361020240670010028
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Korean Journal of Otolaryngology - Head and Neck Surgery
2024 Volume.67 No. 1 p.28 ~ p.32
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Efficacy and Safety of Percutaneous Dilatational Tracheotomy in the Head and Neck Cancer Surgery
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Yu Kwi-Ju
Cho Sung-Ho
Nam Inn-Chul
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Abstract
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Background and Objectives Percutaneous dilatational tracheostomy (PDT) is an easy andfast technique that can replace surgical tracheostomy (ST). Less bleeding, easy technique andshort procedure time are the main advantages of this tecunique. This study is to evaluate thefeasibility of PDT during the head and neck cancer surgery.
Subjects and Method The medical records of 12 patients who underwent PDT during ahead and neck cancer surgery in the period of September 2019 to September 2021 were re-viewed retrospectively. Another medical records of 12 patients who underwent ST during thehead and neck cancer surgery were acquired for comparison. PDT was performed using CigliaPercutaneous Tracheostomy Set® (Cook Critical Care). Parameters of blood loss, proceduretime, wound communication between the cervical and tracheostomy incision and complica-tions were compared between the PDT group and the ST group.
Results The PDT group showed less blood loss, shorter procedure time and showed fewerincidences of wound communication. As for complications, there was one case of conversion toST due to procedure failure in the PDT group. The complication rate was not different be-tween the two groups.
Conclusion PDT can be used as a safe and effective procedure during the head and neckcancer surgery for selected patients.
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KEYWORD
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Dilatation, Head and neck neoplasms, Tracheostomy
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