Changing indications for tracheostomy in maxillofacial trauma

Shlomo Taicher, Navot Givol, Michael Peleg, Leon Ardekian

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

Purpose: Tracheostomy is one of the most common surgical procedures, but not always without complications. The purpose of this article was to reevaluate the indications of maintaining the airway with the use of tracheostomy. Materials and Methods: A total of 399 patients with maxillofacial trauma, who were treated in the Maxillofacial Surgery Department from 1985 to 1992, were evaluated for the type of fracture and air-way problems. Results: Out of the 399 patients evaluated, 13 needed a tracheostomy. Of these, 6 had had a cricothyroidotomy on arrival, 3 required tracheostomy because of impending airway obstruction, 3 because of respiratory distress, and 1 due to difficulty in intubation. Conclusions: The results of this study indicated that surgically securing the airway by tracheostomy should be revised compared to other available methods. In the era of rigid fixation of fractures and the possibility of leaving the patient with an open mouth, it is unnecsssary to carry out tracheostomy for securing the airway as frequently as in the past.

Original languageEnglish
Pages (from-to)292-296
Number of pages5
JournalJournal of Oral and Maxillofacial Surgery
Volume54
Issue number3
DOIs
StatePublished - Mar 12 1996
Externally publishedYes

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Tracheostomy
Wounds and Injuries
Fracture Fixation
Oral Surgery
Airway Obstruction
Intubation
Mouth
Air

ASJC Scopus subject areas

  • Dentistry(all)
  • Surgery

Cite this

Changing indications for tracheostomy in maxillofacial trauma. / Taicher, Shlomo; Givol, Navot; Peleg, Michael; Ardekian, Leon.

In: Journal of Oral and Maxillofacial Surgery, Vol. 54, No. 3, 12.03.1996, p. 292-296.

Research output: Contribution to journalArticle

Taicher, Shlomo ; Givol, Navot ; Peleg, Michael ; Ardekian, Leon. / Changing indications for tracheostomy in maxillofacial trauma. In: Journal of Oral and Maxillofacial Surgery. 1996 ; Vol. 54, No. 3. pp. 292-296.
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