Tracheostomy complications in children: Single center experience

Öz

Objective: To evaluate the frequency and the type of complications in children with tracheostomy in our center Materials and Methods: Single-center retrospective study of pediatric patients undergoing tracheostomy between 2017 and 2022. Age, sex, indication of tracheostomy, tracheostomy time, the features of complications and presence of mortality were evaluated. Results: Fifty children (22 girls, 28 boys) were included the study. The mean age of patients 93.5 months. The tracheostomy time was before one year of age for 27 patients. The most common indication for tracheostomy was long-term ventilation. There were 30 complications for 23 patients.(46%) We did not report any early complication. The most common late complication was the development of granulation tissue. The second most common complication was cannula obstruction. Only one patient died due to massive bleeding associated with tracheostomy. We decannulated 7 patients (14%). Conclusion: The rates of complication may vary in the literature. The reason for this differentiation may be related to the different study design and population features.Also socio-economic level of the family and the responsibility awareness of the parents may contribute to these factors. Education of parents and caregivers about the appropriate postoperative management is very important for preventing complications rates.

Anahtar Kelimeler

• Children
• Complication
• Tracheostomy

Kaynakça

1. References
2. 1.Jain MK, Patnaik S, Sahoo B, Mishra R, Behera JR. Tracheostomy in Pediatric Intensive Care Unit: Experience from Eastern India Indian J Pediatr. 2021 May;88(5):445-449.
3. 2.Dal'Astra AP, Quirino AV, Caixêta JA, Avelino MA. .Tracheostomy in childhood: review of the literature on complications and mortality over the last three decades.Braz J Otorhinolaryngol. 2017 Mar-Apr;83(2):207-214
4. 3.Watters KF. Tracheostomy in Infants and Children.Respir Care. 2017 Jun;62(6):799-825.
5. 4.Roberts J, Powell J, Begbie J, Siou G, McLarnon C, Welch A, McKean M, Thomas M, Ebdon AM, Moss S, Agbeko RS, Smith JH, Brodlie M, O'Brien C, Powell S. Pediatric tracheostomy: A large single-center experience.Laryngoscope. 2020 May;130(5):E375-E380
6. 5.Duymaz YK, Sahin Yılmaz A, Onder S, Tarlanova A, Gergin Tinay O. Pediatric Tracheotomy: 5-years of Experiences at a Tertiary Care Center. The Turkish Journal of Ear Nose and Throat 2021;31(3):66-69
7. 6.Akdag M, Baysal Z, Pirinccioglu Gozu A, Gul A, Ozkurt FE, Topcu I. Retrospective Analysis of Pediatric Tracheostomy. Advances in OtolaryngologyVolume 2014. Article ID 848262
8. 7. Itamoto CH, Lima BT, Sato J, Fujita RR. Indications and Complications of Tracheostomy in Children. Braz J Otorhinolaryngol. 2010 May-Jun;76(3):326-31

9. 8. Fernandez-Bussy S, Mahajan B, Folch E, Caviedes I, Guerrero J, Majid A. Tracheostomy Tube Placement Early and Late Complications.J Bronchology Interv Pulmonol. 2015 Oct;22(4):357-64.
10. 9. Lubianca Neto JF, Castagno OC, Schuster AK. Complications of tracheostomy in children: a systematic review Braz J Otorhinolaryngol. 2022 Nov-Dec;88(6):882-890
11. 10. Ayvaz OD, Celayir A, Çakmak MH.Tracheostomy Experiences in 37 Children during 12 Years: A Retrospective Study. South. Clin. Ist. Euras. 2023;34(1):91-96
12. 11. Bontempo LJ, Manning SL. Tracheostomy Emergencies. Emerg Med Clin North Am. 2019 Feb;37(1):109-119.