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Pediatric Tracheotomy: Comparison of surgical technique with early and late complications in 273 cases

Pediatric Tracheotomy: Comparison of surgical technique with early and late complications in 273 cases

Pakistan Journal of Medical Sciences 35(1): 247-251

This study was aimed to compare the early and late complications of tracheotomy in pediatric patient, with respect to surgical techniques. The relationship between demographic characteristics, surgical techniques obtained from the files of the children and complications developing after surgery were compared retrospectively. One hundred fifty two out of 273 developed complications after tracheotomy. Among these, 75 were early complications and 77 were late complications. Results obtained concerning early complications showed a significant difference between Skin incision and Bleeding and Accidental decannulation; Tracheal incision and Subcutaneous emphysema; surgical time and accidental decannulation and tube/ventilation problem; Surgeon's skill level and bleeding. As regards late complications there was a significant difference between Intubation Time and Stomal-tracheal granulation; Tracheal incision and Stomal infection; Surgeon's skill level and Stomal-tracheal granulation. In pediatric tracheotomy the preferred skin incision and tracheal incision, surgeon's experience, tracheotomoy time and intubation time are important as regards development of early or late complications.

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Accession: 066598712

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PMID: 30881432

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