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Comparative Study
. 2010 Jan 12:10:2.
doi: 10.1186/1471-2482-10-2.

Indications and outcome of pediatric tracheostomy: results from a Nigerian tertiary hospital

Adeyi A Adoga  1 , Nuhu D Ma'an
Affiliations
Comparative Study

Indications and outcome of pediatric tracheostomy: results from a Nigerian tertiary hospital

Adeyi A Adoga et al. BMC Surg. .

Abstract

Background: There is a change in the concept of pediatric tracheostomy. This study investigates the indications and outcomes of pediatric tracheostomy in a Nigerian teaching hospital finding out whether there is also a change in the trend in our environment as compared to other centers.

Methods: A retrospective chart review of 46 patients aged between 2 months and 15 years who presented to our Otorhinolaryngological facility and had tracheostomy between January 2000 and December 2008.

Results: The age range was 2 months to 15 years. There were 29 males and 17 females. Thirty two (69.6%) patients were in the age range 6-10 years. Forty tracheostomies (87%) were performed as emergency while 6 (13%) as elective procedures. The commonest indication for tracheostomy was upper airway obstruction (n = 29, 63%). Transverse skin incision was employed in all the cases. No intra-operative complication was recorded. The post-operative complication rate was 15.2%. The duration of tracheostomy ranged from 5 days to 3 months. All the patients were successfully decannulated. The overall mortality was 8 (17.4%). There was no tracheostomy related mortality.

Conclusions: There is no increase in the incidence of tracheostomy in patients under 1 year of age and the commonest indication for the procedure in Nigeria has remained relief of upper airway obstruction. Pediatric tracheostomy is safe when performed in the tertiary hospital setting.

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Figure 1
Post-tracheostomy complications.
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