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Thyroid-split tracheostomy: short- and long-term outcomes
OBJECTIVE: Compare long-term outcomes of thyroid-split and standard thyroid-retraction tracheostomy in a large cohort. METHODS: The healthcare database of a university-affiliated hospital was searched for past patients over 18 years of age from all of the hospital’s wards on whom an ear, nose, and t...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Pacini Editore Srl
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132481/ https://www.ncbi.nlm.nih.gov/pubmed/37099433 http://dx.doi.org/10.14639/0392-100X-N2192 |
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author | Tsur, Nir Segal, Ella Yosefof, Eyal Koch, Noam Zeeman, Idan Reifen, Ella Wiesel, Ory Bachar, Gideon Najjar, Esmat |
author_facet | Tsur, Nir Segal, Ella Yosefof, Eyal Koch, Noam Zeeman, Idan Reifen, Ella Wiesel, Ory Bachar, Gideon Najjar, Esmat |
author_sort | Tsur, Nir |
collection | PubMed |
description | OBJECTIVE: Compare long-term outcomes of thyroid-split and standard thyroid-retraction tracheostomy in a large cohort. METHODS: The healthcare database of a university-affiliated hospital was searched for past patients over 18 years of age from all of the hospital’s wards on whom an ear, nose, and throat specialist performed a tracheostomy in the operating room between 2010 and 2020. Clinical data were extracted from the hospital and outpatient medical records. Life-threatening and non-life-threatening intra-operative and early and late post-operative adverse events in patients who underwent split-thyroid tracheostomy were compared with those who underwent standard tracheostomy. RESULTS: There was no significant difference in intra-operative and early post-operative complications, hospitalisation length, or early reoperation and death rates between the 140 (28%) thyroid-split tracheostomy patients and the 354 (72%) standard tracheostomy patients, although the thyroid-split group had more non-decannulated patients and a longer operative time. CONCLUSIONS: Thyroid-split tracheostomy is safe and feasible. Compared to the standard procedure, it provides better exposure and a similar rate of complications, although its de-cannulation success rate is lower. |
format | Online Article Text |
id | pubmed-10132481 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Pacini Editore Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-101324812023-04-27 Thyroid-split tracheostomy: short- and long-term outcomes Tsur, Nir Segal, Ella Yosefof, Eyal Koch, Noam Zeeman, Idan Reifen, Ella Wiesel, Ory Bachar, Gideon Najjar, Esmat Acta Otorhinolaryngol Ital Head and Neck OBJECTIVE: Compare long-term outcomes of thyroid-split and standard thyroid-retraction tracheostomy in a large cohort. METHODS: The healthcare database of a university-affiliated hospital was searched for past patients over 18 years of age from all of the hospital’s wards on whom an ear, nose, and throat specialist performed a tracheostomy in the operating room between 2010 and 2020. Clinical data were extracted from the hospital and outpatient medical records. Life-threatening and non-life-threatening intra-operative and early and late post-operative adverse events in patients who underwent split-thyroid tracheostomy were compared with those who underwent standard tracheostomy. RESULTS: There was no significant difference in intra-operative and early post-operative complications, hospitalisation length, or early reoperation and death rates between the 140 (28%) thyroid-split tracheostomy patients and the 354 (72%) standard tracheostomy patients, although the thyroid-split group had more non-decannulated patients and a longer operative time. CONCLUSIONS: Thyroid-split tracheostomy is safe and feasible. Compared to the standard procedure, it provides better exposure and a similar rate of complications, although its de-cannulation success rate is lower. Pacini Editore Srl 2023-04-01 2023-04 /pmc/articles/PMC10132481/ /pubmed/37099433 http://dx.doi.org/10.14639/0392-100X-N2192 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en |
spellingShingle | Head and Neck Tsur, Nir Segal, Ella Yosefof, Eyal Koch, Noam Zeeman, Idan Reifen, Ella Wiesel, Ory Bachar, Gideon Najjar, Esmat Thyroid-split tracheostomy: short- and long-term outcomes |
title | Thyroid-split tracheostomy: short- and long-term outcomes |
title_full | Thyroid-split tracheostomy: short- and long-term outcomes |
title_fullStr | Thyroid-split tracheostomy: short- and long-term outcomes |
title_full_unstemmed | Thyroid-split tracheostomy: short- and long-term outcomes |
title_short | Thyroid-split tracheostomy: short- and long-term outcomes |
title_sort | thyroid-split tracheostomy: short- and long-term outcomes |
topic | Head and Neck |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132481/ https://www.ncbi.nlm.nih.gov/pubmed/37099433 http://dx.doi.org/10.14639/0392-100X-N2192 |
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