Treatment for Complications of Tracheostomy

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  • 気管切開に伴う合併症への対応と回避
  • 症例報告 気管切開に伴う合併症への対応と回避
  • ショウレイ ホウコク キカン セッカイ ニ トモナウ ガッペイショウ エ ノ タイオウ ト カイヒ

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Abstract

Two patients with complications accompanying trachestomy were treated in our department. Both patients initially formed a tracheocutaneous fistula. Both patients had been tracheostomized by digestive surgeons and tracheal cannulae had been exchanged by part-time otolaryngologists. A mediastinal tracheocutaneous fistula was formed by sternotomy in the first case. In the second case, percutaneous dilatational tracheostomy was performed, and separation of the larynx and trachea was observed. These findings suggest that surgical tracheotomy should be elected except in especial cases.<br>Otolaryngologists should carefully observe the stoma and tracheal wall when the tracheal cannula is exchanged.

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