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KMID : 0602820070130010029
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Korean Journal of Bronchoesophagology
2007 Volume.13 No. 1 p.29 ~ p.32
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Clicnic Analysis of Infantile Tracheotomy
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Han Ju-Hee
Choi Seung-Ho
Roh Jong-Lyel
Nam Soon-Yuhl
Kim Sang-Yoon
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Abstract
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Background : Improvements in the fields of neonatology and surgical subspecialities make tracheotomy possible to the younger population. But complication rates for infantile tracheotomy are significantly higher than that for the other pediatric tracheotomy. This study was designed to present our 9-year experiences of infantile tracheotomy and to evaluate the effect of several factors of complications.
Materials & Methods : From 1996 through 2004, 60 tracheotomies were performed. Charts were reviewed with respect to indications for tracheotomy, underlying diseases, success rate in decannulation and length of support time until decannulation, complication and mortality rate.
Results : There were 41 male patients and 19 female patients. Ventilatory support for neurological impairment(38.3%) was the leading indication for tracheotomy, followed by subglottic stenosis(36.7%), laryngomalacia(13.3%). Decannulation was accomplished in 60.0% of infants with an average of 56.5momths with tracheotomy. Complications occurred in 43.3%. There was one tracheotomy-related mortality in case of tracheal atresia. Most common complication was subglottic stenosis.
Conclusion : Infantile tracheotomy had significant morbidities and its outcomes are thought to be usually related to the underlying disease and age. To prevent complication, early decannulation is advisable, and for long-term tracheotomy patients, regulation of reflux and infection may be necessary.
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KEYWORD
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tracheotomy, infant, complication
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