Authors Md Assaduzzaman Liton Junior Consultana, Department of Otolaryngology, Kurmitola General Hospital, Dhaka, Bangladesh Rashedul Islam Medical Officer, National Institute of ENT, Tajgaon, Dhaka, Bangladesh Mahmud Asif Rifat Medical Officer, Department of Otolaryngology, Dhaka Medical College Hospital, Dhaka, Bangladesh Husne Qumer Osmany Associate Professor, Department of Otolaryngology, Dhaka Medical College, Dhaka College Hospital, Dhaka, Bangladesh Uzzal Chandra Ghosh Registrar, Department of Otolaryngology, Dhaka Medical College, Dhaka College Hospital, Dhaka, Bangladesh Md Abu Yusuf Fakir Additional Director General (Medical Education), DGHS, Mohakhali, Dhaka, Bangladesh DOI: https://doi.org/10.3329/bjo.v28i2.64299 Keywords: Tracheostomy, Non-malignant airway obstruction, Tracheobronchial stenosis Abstract

Background: Tracheostomy is a surgical procedure, often a life saving measure in a variety of clinical conditions. It is one of the commonest procedures carried out on the critically ill patient. The most common causes of non-malignant airway obstruction are head and severe facial trauma, cerebrovascular accident, coma, respiratory burn and presence of foreign bodies in airway etc. Tracheostomy is an increasingly utilised adjunct in the ICU management of patients. Effective tracheostomy management involved the multi-professional team in a coordinated approach.

Objectives: To study the indications of tracheostomy in non-malignant disorders.

Study design: Cross-sectional study.

Study setting and period: Department of Otolaryngorhinology and Head- Neck surgery (Unit- 1,2,3), General Surgery, ICU, Casualty, Neurosurgery, Thoracic surgery, Burn & Plastic Surgery and relevant OPD in Dhaka Medical College Hospitalfrom6th September 2015 to 5th March 2016.

Methods: A hospital based cross-sectional study. Fifty patients admitted to hospital, underwent tracheostomy for non-malignant factors. Purposive samplings technique was used. Detail demographic data were collected from the informant and recorded in structured case record form. Clinical examination and relevant investigation were done meticulously. All collected questionnaire checked very carefully to identify the error in the data. Data processing work consist of registration schedules, editing computerization, preparation of dummy table, analyzing and matching of data.

Result: A total of 50 patients of non-malignant pathology causing airway patency loss in different ward unit of DMCH were selected. In this study, maximum numbers of patients (36%) were between 51-70 years age groups with mean age was 47.23±11.57 years. It was observed that, frequency of non-malignant aetiology for tracheostomy gradually increases with age. Study show that, 51-70 years was most frequent age group (36%). Out of 50 cases 82% were male. Present study show that socioeconomically majority patients were poor class (52%), highest percentage of patient comprised of day labourer (30%). Head trauma (12%) and cerebrovascular accidents (9%) were the most common etiological factor trauma was the major aetilogical group (50%),followed by, central drive problems or neurological disease (38%) and elective tracheostomy was done.

Conclusion: Head and facial trauma, cerebrovascular accident, coma, respiratory burn and presence of foreign bodies etc. are common aetilogical factors. It was found that tracheostomy is safer alternative to intubation when a prolonged artificial airway is required.

Bangladesh J Otorhinolaryngol 2022; 28(2): 157-164  

Downloads

Download data is not yet available.

How to Cite

Liton, M. A. ., Islam, R. ., Rifat, M. A. ., Osmany, H. Q. ., Ghosh, U. C. ., & Fakir, M. A. Y. . (2023). Tracheostomy in Non-malignant Disorders. Bangladesh Journal of Otorhinolaryngology, 28(2), 157–164. https://doi.org/10.3329/bjo.v28i2.64299

Issue Section

Original Articles

License

Manuscripts submitted for publication in the Bangladesh Journal of Otorhinolaryngology must not have been previously submitted or published. Accepted papers become the permanent property of the Bangladesh Journal of Otorhinolaryngology. By submitting a manuscript, the authors(s) agree that copyrights for their articles are automatically transferred to Bangladesh Journal of Otorhinolaryngology, if and when the articles are accepted for publication.

The use, in this journal, of registered trade names, trade marks, etc. without special acknowledgement does not imply that such names, as defined by the relevant protection laws, be regarded as unprotected, and, thus, free for general use.

Authors who publish with this journal agree to the following terms:

 

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).