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Titolo:
Learning curve for translaryngeal tracheotomy in head and neck surgery
Autore:
Giugliano, G; Venturino, M; DePaoli, F; Andrle, J; Calabrese, L; Tradati, N; Chiesa, F; Scarpa, D; Susini, G;
Indirizzi:
European Inst Oncol, Div Head & Neck Surg, I-20141 Milan, Italy European Inst Oncol Milan Italy I-20141 Neck Surg, I-20141 Milan, Italy European Inst Oncol, Div Anesthesiol, I-20141 Milan, Italy European Inst Oncol Milan Italy I-20141 nesthesiol, I-20141 Milan, Italy Charles Univ, Fac Med 1, Otorhinolaryngol & Head & Neck Surg Dept, Prague,Czech Republic Charles Univ Prague Czech Republic eck Surg Dept, Prague,Czech Republic
Titolo Testata:
LARYNGOSCOPE
fascicolo: 4, volume: 111, anno: 2001,
parte:, 1
pagine: 628 - 633
SICI:
0023-852X(200104)111:4<628:LCFTTI>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
PERCUTANEOUS DILATATIONAL TRACHEOSTOMY; SURGICAL TRACHEOSTOMY;
Keywords:
tracheotomy; translaryngeal; surgery; head and neck cancer;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Giugliano, G European Inst Oncol, Head & Neck Div, Via Ripamonti 435, I-20141 Milan, Italy European Inst Oncol Via Ripamonti 435 Milan Italy I-20141ly
Citazione:
G. Giugliano et al., "Learning curve for translaryngeal tracheotomy in head and neck surgery", LARYNGOSCOP, 111(4), 2001, pp. 628-633

Abstract

Objectives: Translaryngeal tracheotomy (TLT) is a widely accepted procedure in intensive-care units for its simplicity of execution, low morbidity, rapid wound closure after cannula removal, good esthetic results, and lack of long-term sequelae. The aim of this study was to evaluate the feasibilityand use of adopting TLT in patients with cancer undergoing major head and neck surgery. Study, Design: Prospective analysis of learning curve and incidence of complications in 41 patients with cancer who underwent TLT at theDivision of Head and Neck Surgery of the European Institute of Oncology from November 1997 to June 1999, Methods: Patient characteristics, pathology,anatomic characteristics of the neck, and surgical short-term and long-term complications were noted. The patients were divided into consecutive groups of six or seven patients, and time trends in occurrence of complicationsand time to execute the procedure were assessed. Results: TLT performance time decreased from 50 minutes in the first seven patients to 24 minutes inthe last group. The technique was easy to perform and safe, with only two minor complications during surgery. However, minor complications occurred in three and major complications in 17 patients in the days immediately following surgery, almost entirely attributable to lack of counter-cannula and stylet. Conclusions: In view of the high proportion of major complications,TLT using the presently available kit is unsuitable for major head and neck surgery. However, the considerable advantages of the technique would recommend it as a valid alternative to surgical tracheotomy if the kit includeda counter-cannula and stylet.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 10:42:28