2017
DOI: 10.1016/j.bjorl.2016.08.002
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Tracheostomy in children: a ten-year experience from a tertiary center in southern Brazil

Abstract: Tracheostomy in children is a relatively frequent procedure at our hospital. The most common indications are glossoptosis and subglottic stenosis. A high mortality rate was found, potentially substantiated by the high number of critical care patients with chronic neurological conditions in this cohort. Our decannulation rate is slightly below other series, probably because of the greater amount of patients with comorbidities.

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Cited by 37 publications
(42 citation statements)
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“…Similarly, tracheostomies are much more likely to be required permanently in children, with significant lifestyle changes for the child and their parents or carers . Children with reversible, treatable or acquired pathologies, such as vocal cord palsies or subglottic stenoses, are more likely to get decannulated and the number of associated comorbidities is linked to the likelihood of eventual decannulation . Treatment can take months to years, sometimes waiting for children to grow or to undergo staged maxillofacial or head and neck reconstructive or corrective surgery.…”
Section: Introductionmentioning
confidence: 99%
“…Similarly, tracheostomies are much more likely to be required permanently in children, with significant lifestyle changes for the child and their parents or carers . Children with reversible, treatable or acquired pathologies, such as vocal cord palsies or subglottic stenoses, are more likely to get decannulated and the number of associated comorbidities is linked to the likelihood of eventual decannulation . Treatment can take months to years, sometimes waiting for children to grow or to undergo staged maxillofacial or head and neck reconstructive or corrective surgery.…”
Section: Introductionmentioning
confidence: 99%
“…ise yaptıkları çalışmada, 11 yıllık sürede toplam 123 çocuk hastaya trakeotomi açtıklarını bildirmektedirler. 12 Pierre Robin sendromu için referans merkezi olduğu belirtilen bir klinikten yapılan bu çalışmada, en sık endikasyon glossopitozis olup, (%30) hastaların %84'ünde eşlik eden ek hastalıktan bahsedilmektedir. Bu seride mortalite %31 olarak bildirilmiştir.…”
Section: Gereç Ve Yöntemlerunclassified
“…Bu seride mortalite %31 olarak bildirilmiştir. 12 Funamura ve ark. ise mortalitenin kardiyopulmoner hastalık nedeni ile trakeotomi açılan ve daha büyük yaştaki çocuklarda daha yüksek olduğunu bildirmişlerdir.…”
Section: Gereç Ve Yöntemlerunclassified
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“…A criança que utiliza este dispositivo apresenta uma inerente fragilidade oriunda da exposição das vias aéreas inferiores através do estoma e a presença constante da cânula, e quando no domicílio exige vigilância continuada e, principalmente, cuidados específicos por parte dos familiares cuidadores a fim de preservar sua vida e propiciar seu bem-estar 5 .Esses familiares por vezes não possuem conhecimento adequado a realização de tais cuidados, o que pode implicar complicações no quadro clínico da criança e seu consequente retorno ao hospital 4 .…”
Section: Introductionunclassified