Development of a tracheostomy scoring system to guide airway management after major head and neck surgery

Cameron, Malcolm; Corner, Andrew; Diba, A.; Hankins, Matthew

doi:10.1016/j.ijom.2009.03.713

Cited by 89 publications

(136 citation statements)

References 8 publications

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“…Various scoring systems have been produced to help clinicians decide which patients may benefit from a tracheostomy. 8,14 The system described by Cameron et al 8 used data from 148 patients who were divided into three groups: those who had an elective tracheostomy, those ventilated overnight through an endotracheal tube, and those extubated at the end of the operation. Although simple to use, it did not correlate well with the findings of other authors who retrospectively studied their practice.…”

Section: Discussionmentioning

confidence: 99%

Tracheostomy or delayed extubation after maxillofacial free-flap reconstruction?

Singh

Sankla

Smith

2016

British Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Tracheostomy or delayed extubation after maxillofacial free-flap reconstruction?

Singh

Sankla

Smith

2016

British Journal of Oral and Maxillofacial Surgery

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“…Both the oral cancer and odontogenic infection groups were divided largely into two factors: a surgical factor and a systemic factor. First, in the oral cancer group, surgical factors were simplified into TNM stage and reconstruction methods based on studies on other surgical factors2,7,16,25,26, and for systemic factors, pathologic findings on chest PA and the number of systemic diseases were selected after referring to the study done by Cameron et al11. Cameron et al11 conducted a significant number of tests on 20 factors that could influence the need for tracheostomy.…”

Section: Discussionmentioning

confidence: 99%

“…Cameron et al11 introduced a standard for elective tracheostomy by scoring factors such as the tumor location, mandibulectomy, neck dissection, and reconstruction. However, insufficient consideration of the tumor size and systemic health condition was not included.…”

Section: Introductionmentioning

confidence: 99%

Elective tracheostomy scoring system for severe oral disease patients

Kim

2014

J Korean Assoc Oral Maxillofac Surg

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ObjectivesThe purpose of this research was to create a scoring system that provides comprehensive assessment of patients with oromaxillofacial cancer or odontogenic infection, and to statistically reevaluate the results in order to provide specific criteria for elective tracheostomy.Materials and MethodsAll patients that had oral cancer surgery (group A) or odontogenic infection surgery (group B) during a period of 10 years (2003 to 2013) were subgrouped according to whether or not the patient received a tracheostomy. After a random sampling (group A: total of 56, group B: total of 60), evaulation procedures were observed based on the group classifications. For group A, four factors were evaluated: TNM stage, reconstruction methods, presence of pathologic findings on chest posterior-anterior (PA), and the number of systemic diseases. Scores were given to each item based on the scoring system suggested in this research and the scores were added together. Similarly, the sum score of group B was counted using 5 categories, including infection site, C-reactive protein level on first visit, age, presence of pathologic findings on chest PA, and number of systemic diseases.ResultsThe scoring system rendered from this research shows that there is a high correlation between the scores and TNM stage in oral cancer patients, or infection sites in odontogenic infection patients. However, no correlation between pathologic findings on chest PA could be found in either group. The results also indicated that for both groups, the hospital day increased with the tracheostomy score. The tracheostomy score cutoff value was 5 in oral cancer patients and 6 in odontogenic infection patients which was used for elective tracheostomy indication.ConclusionThe elective tracheostomy score system suggested by this research is a method that considers both the surgical and general conditions of the patient, and can be very useful for managing patients with severe oral disease.

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“…Temporary elective tracheotomy is a safety measure in major head and neck surgical procedures; is a constant for certain approaches, such as the transmandibular approach used for the lateral wall of the oropharynx and the base of the tongue [12] . The risk is related to the potential compromise of the airway in the postoperative period due to oedema and haemorrhage, which may be associated with an important morbidity and mortality due to the eventual impossibility for reintubation and bronchial aspiration.…”

Section: Discussionmentioning

confidence: 99%

Management of the Airway in Transoral Robotic Surgery for Head and Neck Cancer

Granell¹

2017

JAS

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Development of a tracheostomy scoring system to guide airway management after major head and neck surgery

Cited by 89 publications

References 8 publications

Tracheostomy or delayed extubation after maxillofacial free-flap reconstruction?

Tracheostomy or delayed extubation after maxillofacial free-flap reconstruction?

Elective tracheostomy scoring system for severe oral disease patients

Management of the Airway in Transoral Robotic Surgery for Head and Neck Cancer

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