All issues > Volume 17(4); 1974

Original Article

J Korean Pediatr Soc. 1974;17(4):278-283. Published online April 30, 1974.

A Clinical Study of Trachoestomy and It’s Complication in Infant and Children

Soon Hi Lee¹, Young Soon Lee¹, Sung Kyu Lee¹, Dong Shick Chin¹, Duk Jin Yun¹

¹Department of Pediatrics, Yonsei University College of Medicine

Abstract

A total of 33 children with tracheostomy were observed after admission in Severance Hospital during the past 10 years and 3 months from January 1958 to March 1973. 1. Sex incidence was 20iiiale to 13female, and complications occured in 17 cases. 2. The age and complication rate relationship showed that about 70% of the patients were under 5 years old. The complication rate was 83% under ' 1 year of age and between the age of 1 and 5 years, the complication rate was 59%. 3. The most common indication, for tracheostomy was laryngotracheobronchitis, followed by acute diphtheric laryngitis and epiglottitis. 4. The most frequent complication, delayed decannulation occured in 59% of the cases followed. by tracheal stenosis and pneumothorax in that order. 5. The complication rate was directely proportioned to the duration o£ time prior to removal of the cannule. No complication occured when the cannule was removed within 3 days, whereas 15 cases, sustained complications after 7 days. 6. Among 17 cases of complications, death occured in 7 cases including 5 cases due to serious primary disease rather than the tracheostomy itself.

Keywords :