Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Post-tracheostomy complications.
See this image and copyright information in PMC

References

    1. Pereira KD, MacGregor AR, Mitchel RB. Complications of neonatal tracheostomy: a 5 year review. Otolaryngol Head Neck Surg. 2004;31:810–3. doi: 10.1016/j.otohns.2004.07.009. - DOI - PubMed
    1. Ruggiero FP, Carr MM. Infant tracheostomy: results of a survey regarding technique. Arch Otolaryngol Head Neck Surg. 2008;134:263–7. doi: 10.1001/archoto.2007.24. - DOI - PubMed
    1. Primuharsa Putra SH, Wong CY, Hazim MY, Megat Shiraz MA, Goh BS. Pediatric tracheostomy in Hospital University Kebangsaan Malaysia- a changing trend. Med J Malaysia. 2006;61(2):209–13. - PubMed
    1. Alladi A, Rao S, Das K, Charles AR, Cruz AJ. Pediatric tracheostomy: a 13 year experience. Pediatr Surg Int. 2004;20(9):695–8. doi: 10.1007/s00383-004-1277-5. - DOI - PubMed
    1. Butnaru CS, Colreavy MP, Ayari S, Froehlich P. Tracheostomy in children: evolution in indications. Int J Pediatr Otorhinolaryngol. 2006;70(1):115–9. doi: 10.1016/j.ijporl.2005.05.028. - DOI - PubMed

Publication types

LinkOut - more resources