Effects of Tracheostomy on Well‐being and Body‐Image Perceptions

Gilony, Dror; Gilboa, Daniella; Blumstein, Tzvia; Murad, Havi; Talmi, Yoav P.; Kronenberg, Jona; Wolf, Michael

doi:10.1016/j.otohns.2005.04.025

Cited by 88 publications

(80 citation statements)

References 20 publications

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“…This is because there have been reports showing that tracheostomy has the potential to cause a significant decline in a patient's mental health, attributable to worsening self-esteem [12,14]. Therefore, if spine surgeons can present the possibility of later decannulation, patients would be more likely to accept subsequent therapy and the resulting situation.…”

Section: Discussionmentioning

confidence: 99%

“…The invasiveness secondary to tracheostomy is both physical and mental. It has been reported that there is a decline in a patient's mental health after tracheostomy, attributable to worsening self-esteem [12,14]. Therefore, it is important for patients to be aware about the possibility of decannulation, because this helps them to accept subsequent therapy and the resulting situation.…”

Section: Introductionmentioning

confidence: 99%

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Characterizing the need for tracheostomy placement and decannulation after cervical spinal cord injury

et al. 2013

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Purpose There have been few reports on the risk factors for tracheostomy and the possibility of patients for decannulation. The purpose of this study was to identify factors necessitating tracheostomy after cervical spinal cord injury (SCI) and detect features predictive of successful decannulation in tracheostomy patients. Methods One hundred and sixty four patients with cervical fracture/dislocation were retrospectively reviewed. The patients comprised 142 men and 22 women with a mean age of 44.9 years. The clinical records were reviewed for patients' demographic data, smoking history, level of cervical spine injury, injury patterns, neurological status, evidence of direct thoracic trauma and head injury, tracheostomy placement, and decannulation. Risk factors necessitating tracheostomy and factors predicting decannulation were statistically analysed. Results Twenty-five patients (15.2 %) required tracheostomy. Twenty-one patients were successfully decannulated. Smoking history (relative risk [RR], 3.05; p = 0.03) and complete SCI irrespective of injury level (C1-4 complete SCI: RR, 67.55; p \ 0.001, C5-7 complete SCI: RR, 57.88; p \ 0.001) were significant risk factors necessitating tracheostomy. C1-4 complete SCI was more frequent among those who could not be decannulated. However, even in patients with high cervical complete SCI at the time of injury, patients regaining sufficient movement to shrug their shoulders within 3 weeks after injury could later be decannulated. Conclusions The risk factors for tracheostomy after complete SCI were a history of smoking and complete paralysis irrespective of the level of injury. High cervical level complete SCI was found to be a risk factor for the failure of decannulation in patients without shoulder shrug within 3 weeks after injury.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Characterizing the need for tracheostomy placement and decannulation after cervical spinal cord injury

et al. 2013

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“…Tracheotomy and the facial scars resulting from extraoral devices or extraorally placed intraoral devices can have a significant psychological impact, leading to raised self-consciousness and anxiety levels 12,27 . The location of a submandibular scar in extraorally placed intraoral devices is considered to be less conspicuous.…”

Section: Discussionmentioning

confidence: 99%

Custom-made intraoral mandibular distraction as treatment for neonatal airway obstruction

Pluijmers

Wolvius

Wal

2012

International Journal of Oral and Maxillofacial Surgery

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“…Long-term speech, behavior and developmental problems have been associated with tracheostomy as well as moderate to severe intellectual and physical impairments [14]. Adult studies have demonstrated reduced body image perception and reduced life satisfaction after long-term tracheostomy [15].…”

Section: Discussionmentioning

confidence: 99%

Parental perceptions and morbidity: Tracheostomy and Pierre Robin sequence

Demke

Bassim

Patel

et al. 2008

International Journal of Pediatric Otorhinolaryngology

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Effects of Tracheostomy on Well‐being and Body‐Image Perceptions

Abstract: This is the first report on tracheostomy related quality of life in noncancer patients conducted with specific psychological questionnaires.

Cited by 88 publications

References 20 publications

Characterizing the need for tracheostomy placement and decannulation after cervical spinal cord injury

Characterizing the need for tracheostomy placement and decannulation after cervical spinal cord injury

Custom-made intraoral mandibular distraction as treatment for neonatal airway obstruction

Parental perceptions and morbidity: Tracheostomy and Pierre Robin sequence

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