Abstract | BACKGROUND:
Tracheostomy is a frequently performed surgical procedure and may be required under emergency, semiurgent, or elective conditions. In maxillofacial surgery, it is indicated in congenital, inflammatory, oncologic, or traumatic respiratory obstruction and prolonged intubation. This article presents a simplified tracheostomy procedure based on anatomic markers that gives the best compromise between minimum invasiveness and safety. PATIENTS AND METHODS: A retrospective study analyzed the clinical aspects, treatment methods, and clinical course of 198 patients who underwent tracheostomies performed by residents in training under the supervision of surgeons between October 2002 and December 2007 at the Maxillofacial Surgery Department of Carlo Poma Hospital, Mantova, and the Maxillofacial Unit, Head and Neck Department, University of Modena and Reggio Emilia, Italy. Tracheostomies were performed in 127 patients (64.14%) with neoplastic diseases ( tumors of the tongue base, tonsils, and oral and pharyngeal regions) and in 71 patients with trauma (35.86%). The patients were followed up for 3 to 65 months. RESULTS: CONCLUSIONS: The standardized surgical technique presented here reduces the associated surgical risk when the correct anatomic markers are used and important structures are recognized and handled correctly.
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Authors | Attilio Carlo Salgarelli, Marco Collini, Pierantonio Bellini, Paolo Capparè |
Journal | The Journal of craniofacial surgery
(J Craniofac Surg)
Vol. 22
Issue 1
Pg. 243-6
(Jan 2011)
ISSN: 1536-3732 [Electronic] United States |
PMID | 21233743
(Publication Type: Journal Article)
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Topics |
- Adult
- Craniocerebral Trauma
(surgery)
- Education, Medical, Graduate
- Female
- Head and Neck Neoplasms
(surgery)
- Humans
- Italy
- Male
- Postoperative Complications
- Retrospective Studies
- Tracheostomy
(education, methods)
- Treatment Outcome
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