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Published in: European Archives of Oto-Rhino-Laryngology 6/2019

Open Access 01-06-2019 | Tracheostomy | Miscellaneous

Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study

Authors: B. J. de Kleijn, J. Wedman, J. G. Zijlstra, F. G. Dikkers, B. F. A. M. van der Laan

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2019

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Abstract

Objectives

The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST).

Design

A single-centre retrospective study.

Participants

305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files.

Main outcome measures

Short-term and long-term complications including tracheal stenosis.

Results

The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications.

Conclusions

The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. PDT is a safe alternative for ST in selected patients.
Footnotes
1
The procedure is called tracheostomy or tracheotomy in the literature. We reserve the term ‘tracheostomy’ for the airway stoma of laryngectomized patients.
 
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Metadata
Title
Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study
Authors
B. J. de Kleijn
J. Wedman
J. G. Zijlstra
F. G. Dikkers
B. F. A. M. van der Laan
Publication date
01-06-2019
Publisher
Springer Berlin Heidelberg
Keyword
Tracheostomy
Published in
European Archives of Oto-Rhino-Laryngology / Issue 6/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-019-05394-9

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