Short- and long-term complications of surgical and percutaneous dilatation tracheotomies: a large single-centre retrospective cohort study

Objectives The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST). Design A single-centre retrospective study. Participants 305 patients undergoing a tracheotomy (PDT or ST)...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2019-06, Vol.276 (6), p.1823-1828
Main Authors: de Kleijn, B. J., Wedman, J., Zijlstra, J. G., Dikkers, F. G., van der Laan, B. F. A. M.
Format: Article
Language:English
Subjects:
Dilatation - adverse effects
Female
Head and Neck Surgery
Humans
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Miscellaneous
Neurosurgery
Otorhinolaryngology
Postoperative Complications - epidemiology
Retrospective Studies
Time Factors
Tracheal Stenosis - epidemiology
Tracheostomy - adverse effects
Tracheotomy - adverse effects
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Summary:Objectives The aim of this study was to determine and compare the incidence of long- and short-term complications of percutaneous dilatation tracheotomies (PDT) and surgical tracheotomies (ST). Design A single-centre retrospective study. Participants 305 patients undergoing a tracheotomy (PDT or ST) in the University Medical Center Groningen from 2003 to 2013 were included. Data were gathered from patient files. Main outcome measures Short-term and long-term complications including tracheal stenosis. Results The incidence of short- and long-term complications, including tracheal stenosis, was similar in both groups. Analysis of a small high-risk subgroup showed no difference in long-term complications. Conclusions The rate of short- and long-term complications, including tracheal stenosis, is equal in PDT and ST. PDT is a safe alternative for ST in selected patients.
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-019-05394-9