Application of modified tracheoglossostomy in patients with difficult tracheotomy
YE Fan1, FANG Xiaobi1,XIA Zhigang2, WU Cong1, LIN Renyu1, LI He1.
1.Department of Otolaryngology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China; 2.Department of Otolaryngology, Jiaxing Second Hospital, Jiaxing 314000, China
YE Fan,FANG Xiaobi,XIA Zhigang, et al. Application of modified tracheoglossostomy in patients with difficult tracheotomy [J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2024, 54(6): 477-481.
Abstract：Objective: To study the application value of modified tracheotomy in patients with difficult tracheotomy. Methods: A retrospective study was conducted on 42 patients with difficult tracheotomy who underwent tracheotomy at the First Affiliated Hospital of Wenzhou Medical University between November 2016 and December 2021. They were divided into temporary tracheotomy group (25 cases) and modified tracheoglossostomy group (17 cases) according to different methods of gas incision. The first postoperative tube replacement time, blood volume, postoperative complications, decision time and operation time were analyzed.Results: Compared with the temporary tracheotomy group, the modified tracheoglossostomy group had significant advantages in the first postoperative tube replacement time and blood flow volume (P<0.05). Compared with the temporary tracheostomy group, the modified tracheoglossostomy group significantly shortened the surgical decision time (P<0.05). There was no significant difference in operation time between the two groups (P>0.05).There was 1 case of subcutaneous emphysema complications in the modified tracheoglossostomy group, and in the temporary tracheostomy group there were 2 local infections, 3 accidental extubations and 1 balloon rupture.Conclusion: Modified tracheoglossostomy has certain advantages over temporary conventional tracheostomy in terms of postoperative complications and outcomes.
