An Evaluation of Open Tracheostomy in Oral and Maxillofacial Surgery

Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons Pub Date : 2008-03-06 DOI:10.4314/NJSSCI.V17I2.38412

V. Akinmoladun, J. Arotiba, P. Onakoya, A. Adeyemo, P. Sotunmbi

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引用次数: 1

Abstract

This study was carried out to evaluate the indications, utilisation and the overall impact of tracheostomy on the practice of Oral and Maxillofacial Surgery at the University College Hospital, Ibadan, Nigeria. In a retrospective study of a total of 381 patients operated under general anaesthesia by the Department of Oral and Maxillofacial Surgery within the study period, 41 patients (10.8%) were tracheostomised. There were 26 males and 15 females with a ratio of 1.7:1 and the mean age was 28.9 years (SD = 12.25, range of 5 – 65 years). Indications for tracheostomy were orofacial tumours 70.7% (n=29), trauma 19.5% (n=8), temporomandibular joint (TMJ) ankylosis 7.3% (n=3) and post operative airway obstruction 2.4% (n=1). Orofacial tumours account for a major part of the indication for tracheostomy as a surgical airway intervention which is safe and with low morbidity. Keywords : Tracheostomy, Airway management, Orofacial tumours Nigerian Journal of Surgical Sciences Vol. 17 (2) 2007: pp. 96-100

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开放性气管切开术在口腔颌面外科中的应用评价

本研究是在尼日利亚伊巴丹大学学院医院进行的，目的是评估气管切开术对口腔颌面外科实践的适应症、应用和总体影响。回顾性分析研究期间口腔颌面外科全麻手术381例患者，41例(10.8%)气管造口术。男性26例，女性15例，比例为1.7:1，平均年龄28.9岁(SD = 12.25，范围5 ~ 65岁)。气管切开术指征为口面部肿瘤70.7% (n=29)，外伤19.5% (n=8)，颞下颌关节强直7.3% (n=3)，术后气道梗阻2.4% (n=1)。口面部肿瘤是气管切开术的主要适应症，是一种安全、低发病率的外科气道干预方法。关键词:气管切开术，气道管理，口面部肿瘤尼日利亚外科杂志Vol. 17 (2) 2007: pp. 96-100

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Nigerian journal of surgical sciences : official journal of the Nigerian Section of International College of Surgeons

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