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| Year : 1999 | Volume
: 4
| Issue : 1 | Page : 42-45 |
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Tracheostomy in orofacial and neck lesions: A retrospective study of 240 consecutive cases
Chima Oji
Department of Oral & Maxillofacial Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria
Correspondence Address:
MD. DDS, FWACS Chima Oji
Enugu
Nigeria
 Source of Support: None, Conflict of Interest: None
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Tracheostomy is one of the most common surgical procedures, but not always without complications. Its employment in head and neck cancer surgery, for example, remains controversial. This study details those cases in which the life-saving potential of tracheostomy placement was considered to outweigh the disadvantages. It also evaluates the indication for maintaining the airway with the use of tracheostomy following trauma to the facial skeleton.
Two hundred and forty consecutive cases of tracheostomy in orofacial and head lesions were assessed and revealed a relatively low complication rate of 5% for all cases. Chest infection was the commonest problem, although none was life threatening and all responded to treatment Indications for tracheostomy as well as the surgical and medical management aimed at reducing tracheostomy complications are discussed.
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