Selective use of tracheostomy in surgery for head and neck cancer: An audit

被引:28
作者
Crosher, R
Baldie, C
Mitchell, R
机构
[1] Department of Maxillofacial Surgery, City Hospital, Edinburgh
[2] Department of Maxillofacial Surgery, City Hospital, Edinburgh EH10 5SB, Greenbank Drive
关键词
D O I
10.1016/S0266-4356(97)90008-5
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This retrospective study was designed to define the role of tracheostomy in the operative treatment of patients with cancers of the head and neck, The subjects were 51 patients who underwent neck dissection with resection of the tumour and repair during the period January 1992-December 1994, out of a total of 109 patients who were treated for cancers of the head and neck during that time, Three patients required tracheostomies, two of which were done preoperatively, and one immediately postoperatively for respiratory distress, There were no operative deaths, Morbidity included wound infection (n = 2), chest infection caused by Haemophilus influenzae (n = 1), transient fever associated with blood transfusion (n = 5), and transient fever of no obvious cause (n = 3). Median hospital stay was 10 days (range 4-38), Patients undergoing operations for cancers of the head and neck do not require routine tracheostomy. Further research on how to select patients who will need tracheostomy is necessary and is being done.
引用
收藏
页码:43 / 45
页数:3
相关论文
共 9 条
  • [1] MANAGEMENT OF THE AIRWAY IN ORAL AND OROPHARYNGEAL RESECTIONS
    AGNEW, J
    HAINS, D
    ROUNSFELL, B
    [J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1992, 62 (08): : 652 - 653
  • [3] COMPLICATIONS OF TRACHEOSTOMY IN MAJOR HEAD AND NECK-CANCER SURGERY A RETROSPECTIVE STUDY OF 60 CONSECUTIVE CASES
    CASTLING, B
    TELFER, M
    AVERY, BS
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 1994, 32 (01) : 3 - 5
  • [4] CHEW JY, 1972, ARCHIV OTOLARYNGOL, V96, P538
  • [5] MCGREGOR IA, 1986, CANC FACE MOUTH, P323
  • [6] CHEST INFECTION FOLLOWING HEAD AND NECK-SURGERY - A PILOT-STUDY
    MORTON, RP
    MELLOW, CG
    DORMAN, EB
    [J]. CLINICAL OTOLARYNGOLOGY, 1990, 15 (04): : 363 - 366
  • [7] ENDOTRACHEAL INTUBATION AS AN ALTERNATIVE TO TRACHEOSTOMY AFTER INTRAORAL OR OROPHARYNGEAL SURGERY
    SCHER, N
    DOBLEMAN, TJ
    PANJE, WR
    [J]. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 1989, 11 (06): : 500 - 504
  • [8] ELECTIVE TRACHEOSTOMY IN HEAD AND NECK TUMOUR SURGERY
    SHAW, HJ
    STYLIS, SC
    ROSEN, G
    [J]. JOURNAL OF LARYNGOLOGY AND OTOLOGY, 1974, 88 (07) : 599 - 614
  • [9] WALDRON J, 1990, ANN ROY COLL SURG, V72, P218