Pediatric Tracheotomies: A 5-Year Experience In 152 Children

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dc.contributor.authorAkcan, Fatih Alper
dc.contributor.authorDündar, Yusuf
dc.contributor.authorUluat, Ahmet
dc.contributor.authorCebeci, Derya
dc.contributor.authorSungur, Mehmet Ali
dc.contributor.authorSalman, Nergis
dc.contributor.authorÜnlü, İlhan
dc.date.accessioned2020-04-30T23:20:38Z
dc.date.available2020-04-30T23:20:38Z
dc.date.issued2018
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000493730200002en_US
dc.description.abstractObjective: To analyze the indications, complications, and outcomes of pediatric tracheotomies. Material and methods: All tracheotomies performed in a tertiary referral center between January 2011 and December 2015 were reviewed retrospectively. Demographic characteristics of patients, types of referral to hospital, tracheotomy indications, preoperative evaluation findings, surgical technique, postoperative care and complications, discharge and follow-up results were analyzed. Results: A total of 152 pediatric patients underwent tracheotomy at our hospital during this five year period. The median age of patients at the time of tracheotomy was 15.8 months, ranging from 24 days to 17 years. Of the 152 patients, 91 had neurological diseases, 38 had cardiopulmonary diseases, 14 had craniofacial abnormalities, seven had upper airway obstruction, and two underwent tracheostomy for trauma. Eleven (7.2%) patients experienced early complications, and 15 (9.8%) experienced late complications. Twenty (13.1%) patients were decannulated during the follow-up period. Unfortunately, 9 patients (5.9%) died of primary disease and 3 patients (1.9%) died of tracheostomy-related complications Conclusions: The majority of procedures were performed for diseases leading to prolonged mechanical ventilator support such as neurological and cardiopulmonary diseases. This study demostrates the importance of tracheotomy indications, which are the main predictors of decannulation rates. The other significant predictor is pulmonary complications that may cause permanent dependence of mechanical ventilator support as a result of pulmonary failure.en_US
dc.identifier.doi10.32448/entupdates.458961en_US
dc.identifier.endpage78en_US
dc.identifier.issn2149-7109
dc.identifier.issn2149-6498
dc.identifier.issue2en_US
dc.identifier.startpage71en_US
dc.identifier.urihttps://doi.org/10.32448/entupdates.458961
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4046
dc.identifier.volume8en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherDeomed Publ, Istanbulen_US
dc.relation.ispartofEnt Updatesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPediatric tracheotomyen_US
dc.subjecttracheostomyen_US
dc.subjectdecannulationen_US
dc.subjectcomplicationen_US
dc.titlePediatric Tracheotomies: A 5-Year Experience In 152 Childrenen_US
dc.typeArticleen_US

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