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Otolaryngol Head Neck Surg. 2007 Aug;137(2):280-3.

Tracheotomy in the preschool population: indications and outcomes.

Author information

1
Department of Otolaryngology, Vanderbilt University, Nashville, TN 37232, USA. lesley.french@vanderbilt.edu

Abstract

OBJECTIVE:

Although more tracheotomy procedures are performed within the first year of life than in any other age group, preschool-aged children requiring tracheotomy remain understudied. We characterize the indications and outcomes for patients between the ages of 3 and 6 years undergoing tracheotomy.

METHODS:

Out of 480 pediatric tracheotomy procedures performed at a tertiary-care hospital between 1988 and 2004, 15 patients underwent primary tracheotomy between 3 and 6 years of age.

RESULTS:

Most (60%) procedures were performed for pulmonary toilet. Upper-airway obstruction represented the second most common indication (40%), and trauma necessitated tracheotomy procedures more often than had been predicted (40%). The decannulation rate was 40%; 2 patients died.

CONCLUSION:

Trauma contributed to both upper-airway obstruction as well as requirements for pulmonary toilet. These procedures performed secondary to trauma will likely continue to increase.

SIGNIFICANCE:

Tracheotomy procedures in the preschool population remain uncommon; however, nearly half of those studied were performed as a direct result of otherwise preventable trauma.

PMID:
17666256
DOI:
10.1016/j.otohns.2007.02.021
[Indexed for MEDLINE]

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