Background: This study aims to survey some clinical features, indications and results of tracheotomy at Hue Central Hospital and Hue University Hospital. Patients and method: Studying on 77 patients who underwent tracheotomy at all of departments and designed as an prospective, descriptive and interventional study. Results: Male-female ratio was 4/1. Mean age was 49 years. Career: farmer 44.2%, worker 27.2%, officials 14.3%, student 7.8%, other jobs 6.5%. Respiratory condition before tracheotomy: underwent intubation 62.3%, didn’t undergo intubation 37.7%. Period of stay of endotracheal tube: 1-5 days 29.2%, 6-14 days 52.1%, >14 days 18.7%. Levels of dyspnea before tracheotomy: level I 41.4%, level II 48.3%, level III 0%, 10.3% of cases didn’t have dyspnea. Twenty cases (26%) were performed as an emergency while fifty seven (74%) as elective produces. Classic indications (37.7%) and modern indications (62.3%). On the bases of the site, we divided tracheostomy into three groups: high (0%), mid (25.3%) and low (74.7%). During follow-up, 44 complications occurred in 29 patients (37.7%). Tracheobronchitis 14.3%, tube obstruction 13%, subcutaneous empysema 10.4%, hemorrhage 5%, diffcult decannulation 5.2%, tube displacement 3.9%, canule watery past 2.6%, wound infection 1.3%. The final result after tracheotomy 3 months: there are 33 patients (42.9%) were successfully decannulated. In the 33 patients who were successfully decannulated: the duration of tracheotomy ranged from 1 day to 90 days, beautiful scar (51.5%), medium scar (36.4%), bad scar (12.1%). Conclusions: In tracheotomy male were more than female, adult were more than children. The main indication was morden indication. Tracheobronchitis and tube obstruction were more common than other complications. Key words: Tracheotomy
Research aims: To describe the clinical, paraclinical features of chronic otitis media with perforation and evaluation the treatment by tragal perichondrium myringoplasty. Material and method: 33 patients diagnosed chronic otitis media were treated by tragal perichondrium tympanoplasty at Hue Central Hospital and Hue University of Medicine and Pharmacy Hospital. Results: Chronic otitis media was formed to be common among females, in age groups 16-30 years. The percentage of patients in rural areas (57.6%) is higher than in urban areas (42.4%), the functional symptoms before surgery are hearing loss, tinnitus with the incidence of 100%, 87.9, these symptoms improved significantly after surgery (hearing loss decreased from 100% to 18.2% after 3 months, 6 months after surgery; tinnitus decreased by 87.9 % to 27.3% and 24.2%), the rate of closure the perforation after 3 months was 81.8%, PTA after surgery is 28.8 ± 10.6dB, up by 13.0 ± 7.4 dB. Conclusions: Chronic otitis media is a common disease in Viet Nam, affect much to life, should be detected, treated and operated timely. Tragal perichondrium myringoplasty is simple, easy to operate and has a good result. Key words: Chronic otitis media, perforation, tragal perichondrium myringoplasty, hearing loss, tinnitus
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