The changing concepts of tracheostomy

Mukherjee, D. P.

doi:10.1017/s0022215100087867

Cited by 7 publications

(2 citation statements)

References 10 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient records of all children in whom a tracheostomy was performed at the Royal Children's Hospital, Melbourne between 1 January 1979 and the 1 January 1989 were analysed. The Royal Children's Hospital is the main paediatric hospital in the state of Victoria, Australia, serving a population of approximately one million children (0-16 years).'…”

Section: Methodsmentioning

confidence: 99%

Tracheostomy.

Freezer

Beasley

Robertson

1990

Archives of Disease in Childhood

View full text Add to dashboard Cite

The records of all children who had a tracheostomy performed over a 10 year period from January 1979 were reviewed. Altogether 142 patients aged 1 day to 24-8 years received a tracheostomy, 70 in the first year of life. The conditions necessitating tracheostomy were trauma (n=21), acquired subglottic stenosis (n=21), subglottic haemangioma (n= 16), Guillian-Barre syndrome (n= 14), Pierre Robin syndrome (n=9), craniofacial disorders (n=9), micrognathia (n=5), and others in 47. In patients successfully decannulated the median period of tracheostomy was 104 days (range 3 days to 9-0 years) and in 25 patients the tracheostomy is still in situ. Eighty four patients (60%) were discharged from hospital with their tracheostomy in situ and no patient was kept in hospital because of a tracheostomy beyond four weeks. There were two tracheostomy related deaths in hospital. Both patients had severe acquired subglottic stenosis secondary to ventilation for lung disease of prematurity. There were no tracheostomy related deaths at home; complications included tracheal granulomas and polyps (n= 19). After removal of the tracheostomy 13 children had a fistula requiring surgical closure and four required revision of the tracheostomy scar.Tracheostomy is well tolerated in small children, with few complications and can be managed safely in the home by the family.

show abstract

Section: Methodsmentioning

confidence: 99%

Tracheostomy.

Freezer

Beasley

Robertson

1990

Archives of Disease in Childhood

View full text Add to dashboard Cite

show abstract

“…These two countries are still affected by laryngeal diphtheria, poliomyelitis, and tetanus, but the incidence of these conditions will probably decrease with increased immunization. In Nigeria, a substantial number of tracheostomies have, until recently, been done for recurrent multiple juvenile papillomata, which is more frequent than in the developed nations (Mukherjee, 1979;Okafor, 1983).…”

Section: Number Of Casesmentioning

confidence: 99%