Sema ZER TOROS, Çiğdem Kalaycık ERTUGAY, Başak Çaypınar ESER, Elif AKYOL ŞEN, Çiğdem TEPE KARACA, Ayşegül VERİM, Çağatay OYSU

Topographic landmarks in the evaluation of surgical time, morbidity and complications of tracheotomy

Objectives: This study aims to measure some topographic points and distances in the neck and investigate the effect of these topographic measurements on operative duration and complication rate. Patients and Methods: This observational prospective study included 65 patients 38 males, 27 females; mean age 66.1±12.1 years; range 23 to 85 years who were performed conventional open tracheotomy Haydarpasa Numune Training and Research Hospital between May 2012 and July 2014. Patients’ age, gender and weight body mass index , duration of the procedure, and peri- and postoperative complications were recorded. Mentum M -suprasternal notch SN and cricoid cartilage CC -SN distances were measured with a measuring tape. Neck circumference was measured at the levels of CC and cricothyroid membrane. Results: Operative duration was significantly longer in obese patients compared to normal weight and overweight patients p=0.002; p=0.026; p

Keywords:

Body mass index, neck circumference, neck length, tracheotomy,

PDF

___

Dierks EJ. Tracheotomy: elective and emergent. Oral Maxillofac Surg Clin North Am 2008;20:513-20.
El Solh AA, Jaafar W. A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients. Crit Care 2007;11:3.
Shah RK, Lander L, Berry JG, Nussenbaum B, Merati A, Roberson DW. Tracheotomy outcomes and complications: a national perspective. Laryngoscope 2012;122:25-9.
Byhahn C, Lischke V, Meininger D, Halbig S, Westphal K. Peri-operative complications during percutaneous tracheostomy in obese patients. Anaesthesia 2005;60:12-5.
Meacham R, Vieira F. Is obesity truly a risk factor for mortality after tracheotomy? Ann Otol Rhinol Laryngol 2012;121:733-7.
Heyrosa MG, Melniczek DM, Rovito P, Nicholas GG. Percutaneous tracheostomy: a safe procedure in the morbidly obese. J Am Coll Surg 2006;202:618-22.
Solh AA. Clinical approach to the critically ill, morbidly obese patient. Am J Respir Crit Care Med 2004;169:557-61.
Byrd JK, Ranasinghe VJ, Day KE, Wolf BJ, Lentsch EJ. Predictors of clinical outcome after tracheotomy in critically ill obese patients. Laryngoscope 2014;124:1118-22.
Marshall RV, Haas PJ, Schweinfurth JM, Replogle WH. Tracheotomy Outcomes in Super Obese Patients. JAMA Otolaryngol Head Neck Surg 2016;142:772-6.