TRACHEOSTOMY IN MAXILLOFACIAL SURGERY- 3 YEARS RETROSPECTIVE ANALYSIS OF PATIENTS TREATED AT KHYBER COLLEGE OF DENTISTRY
DOI:
https://doi.org/10.33279/jkcd.v7i02.410Keywords:
Surgical airway, Tracheostomy, Maxillofacial surgery, Pan-facial trauma, temporomandibular joint ankylosisAbstract
Objective: The objective of this study is to determine the frequency of different maxillofacial conditions requiring tracheostomy.
Material and Methods: A retrospective analysis of patient admitted to the department of Oral & Maxillofacial Surgery at Khyber College of Dentistry during a period from January 2014 to December 2016 was carried out. Patients with maxillofacial condition, requiring surgical tracheostomy, were included. Frequencies and percentages were calculated using SPSS version 20.
Results: Out of total 3707 patients 162 (4.37%) patients underwent surgical tracheostomy. Among them 102 (62.96%) where male and 60 were (37.04%) were female. Majority of the patients were in age group 11-20 years. The primary presenting complains was pan facial trauma (39.51%). Among the patients in whom surgical airway was performed, 79 (48.76%) acquired surgical airway in emergency while 83 (51.24%) went through elective procedure.
Conclusions: In Maxillofacial surgery, tracheostomy is needed in situations like Pan-facial trauma, limited mouth opening due to temporomandibular joint ankylosis and impending airway because of severe facial space infection. Careful evaluation and timely decision can prevent emergent situations and loss of lives.
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Copyright (c) 2017 Basheer- Rehman, Nadia Burair, Fahad Qiam, Muslim Khan, Atta ur Rehman, Tariq Ahmad, Shuja Riaz Ansari
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