-transparent.png){kind=logo}
Besides surgical tracheostoma for treatment of long-term intubation, percutaneous dilatational tracheostomy (PDT) has become available during the last few years. Long-term results of the PDT are rare in the medical literature. This paper reports a retrospective analysis comparing the results after PDT with those after surgical tracheostomy. The methods include subjective evaluation of both techniques by the patients using a standardized questionnaire. It also includes the objective cosmetic result of the outside scar, as well as endoscopic inspection of the larynx and trachea. The patients own evaluation showed a higher content in the PDT group mainly due to the cosmetic result. The objective data confirmed those results. Patients with surgical tracheostomy had an average scar length of 5 cm (2 inches), compared to 1,2 cm (5 inch) in the PDT group. The endoscopic examination showed minor stenosis of the trachea in both groups that were not functionally relevant. The average stenosis of 14% for the PDT was similar to that observed after surgical tracheostomy which was 19%. The choice of the best technique should be made in close cooperation between head- and neck surgeons and anesthesiologists.
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
February 2015,
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
August 2002,
Der Anaesthesist,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
February 1994,
Laryngo- rhino- otologie,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
May 1998,
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
July 1997,
Anaesthesia,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
April 2015,
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
February 1992,
Chest,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
November 1996,
Anaesthesia,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
June 1997,
Ugeskrift for laeger,
C P Hommerich, and
R Rödel, and
L Frank, and
A Zimmermann, and
U Braun
January 1991,
Zeitschrift fur Kardiologie,
