Table of Contents
Advances in Otolaryngology
Volume 2014 (2014), Article ID 848262, 4 pages
http://dx.doi.org/10.1155/2014/848262
Clinical Study

Retrospective Analysis of Pediatric Tracheostomy

1Department of Otolaryngology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
2Department of ENT & Head and Neck Surgery, Dicle University Medical College, 21280 Diyarbakir, Turkey
3Department of Anesthesia, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
4Department of Pediatric Intensive Care, Faculty of Medicine, Dicle University, Diyarbakir, Turkey

Received 25 February 2014; Revised 22 May 2014; Accepted 5 June 2014; Published 26 June 2014

Academic Editor: Tino Just

Copyright © 2014 Mehmet Akdag et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. This paper reviews analyses for tracheostomy within our patient population over the last 6 years. Methods. We conducted a retrospective chart review of consecutive patients undergoing tracheostomy at the tertiary Dicle University Medical hospital, Turkey, from January 2006 to December 2012. Patient age, sex, emergency, planned tracheostomy, indications, complications, and decannulation time were all assessed. Results. Fifty-six (34 male, 22 female) adult Pediatric patients undergoing tracheostomy between 2006 and 2013 were investigated. The most common indication for tracheostomy was upper airway obstruction (66.7%), followed by prolonged intubation (33.3%). Mean decannulation times after tracheostomy ranged between 1 and 131 days, the difference being statistically significant ( ). There was no significant difference in terms of mean age ( ; ). There was also no statistical difference between emergency and planned tracheotomies ( ). Conclusion. In our patient population, there was a significant decline in the number of tracheotomies performed for prolonged intubation and an increasing number of patient tracheostomy for upper airway obstruction. According to the literature, permanent decannulation rates were slightly higher with an increase in genetic diseases such as neuromuscular disease.