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 language | English |
|---|---|
| Pages (from-to) | 292-296 |
| Number of pages | 5 |
| Journal | Journal of Oral and Maxillofacial Surgery |
| Volume | 54 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 12 1996 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - Changing indications for tracheostomy in maxillofacial trauma
AU - Taicher, Shlomo
AU - Givol, Navot
AU - Peleg, Michael
AU - Ardekian, Leon
PY - 1996/3/12
Y1 - 1996/3/12
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0029917048&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0029917048&partnerID=8YFLogxK
U2 - 10.1016/S0278-2391(96)90744-2
DO - 10.1016/S0278-2391(96)90744-2
M3 - Article
VL - 54
SP - 292
EP - 296
JO - Journal of Oral and Maxillofacial Surgery
JF - Journal of Oral and Maxillofacial Surgery
SN - 0278-2391
IS - 3
ER -