Introduction: Tracheostomy is performed as an alternative to the natural breathing airways for upper airway obstruction, pulmonary toilet or for protecting the larynx. It is a common procedure in surgical departments. Objectives: The study aimed at evaluating the immediate outcomes of tracheostomy and the incidence of immediate complications associated with tracheostomy. Methods: Using a questionnaire, prospective data was collected from patients, who presented in Ear, Nose and Throat department at the Kigali University Teaching Hospital (KUTH). Results: 29 patients underwent a tracheostomy. The age rang was 4 to 77 years, mean of 37 years, 82.8% were aged above 18 years. Male to female ratio was 3.8:1. The incidence of tracheostomy was 9.5%. The most common indication was prolonged intubation accounting for 55.2% of cases. No intra -operative
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