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Volume 09 Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries.com
August 15-17, 2019 Rome, Italy
&
3rd International Conference on Craniofacial Surgery
4th European Otolaryngology-ENT Surgery Conference
Comparison of surgical tracheostomy and percutaneous dilatational tracheostomy in intensive care unit patients
Inn-chul Nam
The Catholic Universtiy of Korea, Republic of Korea
P ercutaneous dilatational tracheostomy (PDT) has become an increasingly popular method of establishing an
airway for patients in need of chronic ventilator assistance. The aim of this study is to assess and compare two
main strategies for doing tracheostomy: traditional open surgical tracheostomy (ST) and PDT. We retrospectively
reviewed medical records of 43 patients who underwent tracheostomy between the years 2016 and 2017. All patients
were under intensive care unit (ICU) care and referred to the department of otolaryngology for tracheostomy. All
tracheostomies were performed at the bedside using either percutaneous dilatational technique or open surgical
technique by a single surgeon. In cases of PDT, either blind puncture technique without any guidance or laryngoscopy-
guided puncture technique was used. Demographic and procedural variables and complications were compared
between the two groups. PDT was performed in 29 patients and ST in 14 patients. Of those who underwent PDT,
15 patients received the blind puncture technique and 14 patients laryngoscopy-guided puncture technique. The
cricosternal distance was longer and the amount of blood loss and duration of the procedure was lesser in the PDT
group. In the PDT group, there was no difference in blood loss nor in the duration of the procedure according to
the puncture technique, whereas critical complications occurred more frequently when the blind technique was
used. Subjective difficulty of the procedure is predictive of complications. The study show that PDT is a useful and
safe procedure for ICU patients. Also, guidance on using the flexible laryngoscopy during PDT can prevent severe
complications.
Biography
Dr. Inn-chul Nam has completed his MD from The Catholic University of Korea and acquired PhD from the same institute. He is the assistant professor of The
Catholic University of Korea, College of Medicine. He has been serving as the head surgeon of the division of Head and Neck Surgery, Department of ORL-HNS
of Incheon St. Mary`s Hospital.
Inn-chul Nam, Otolaryngol (Sunnyvale) 2019, Volume 09