Epidemiology of Various Aetiologies For Emergency Tracheostomy In Tertiary Ent Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Introduction : Tracheotomy was first depicted on Egyptian artefacts in 3600 BC [1]. It was described in the Rigveda, a Sanskrit text, Circa 2000 BC [2]. It is believed that an early tracheotomy was performed by Asclepiades of Bithynia, who lived in Rome around 100 BC; Galen and Aretaeus both of whom lived in Rome in the 2nd century AD, credit Asclepiades as being the first physician to perform a non-emergency tracheotomy [3]. Upper Airway obstruction has been one of the most accepted indication for tracheostomy our study details the various specific causes that required emergency tracheostomy. Results: In our study carcinoma glottis was the commonest indication for emergency tracheostomy with 31.63%,then carcinoma hypopharynx with18.36%,carcinoma supraglottis 14.28%,followed by bilateral abductor palsy 10.20%,laryngeal papillomatosis with 3.06%,followed by tracheal stenosis, diphtheria, carcinoma oropharynx 4.08%,subglottic stenosis and neck injury 3.06%, carcinoma buccal mucosa is 1.02%. Conclusion:Airway obstruction secondary to Laryngeal tumors is the most common indication for adult tracheostomy and laryngeal papilloma and diphtheria being the common indication in paediatric age group in our Centre. Tracheostomy remains a safe method of restoring the airway in case of upper airway obstruction, also gives time to plan & execute further management of underlying cause
Authors and Affiliations
Dr G. Shaul Hameed, Dr Abhinav Thaduri
Keywords
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- EP ID EP401622
- DOI 10.9790/0853-1710041722.
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