Usefulness of Permanent Tracheostoma in Chronic Brain Injured Patients: A Case Series
Yonsei Medical Journal
; : 1743-1746, 2014.
Article
in En
| WPRIM
| ID: wpr-180219
Responsible library:
WPRO
ABSTRACT
Patients with severe neurological deficit, such as hypoxic ischemic injury, cerebral infarction, and traumatic brain injury, often show comatose mental status and require maintenance of long-term tracheostomy for pulmonary toileting. However, several complications, which are mostly related to the cannula, invariably occur. Permanent tracheostoma is a short, skin-lined, noncollapsing, self-sustaining opening by suturing the denuded skin lining to the margin of the tracheal stoma. This tube-free method is a useful alternative to make long-term airway without tube-related complications in chronic diseases, such as obstructive sleep apnea, and laryngeal cancer, however, it has not yet been reported in chronic brain injured patients. This case report illustrates 3 cases of vegetative patients in our rehabilitation clinic who underwent successful procedure of permanent tracheostoma. Permanent tracheostoma has some benefits associated with the free of tube-related complications, and can be considered as a useful alternative way for chronic brain injured patients with long-term tracheostomy.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Trachea
/
Brain Injuries
/
Tracheostomy
/
Treatment Outcome
Limits:
Humans
/
Male
Language:
En
Journal:
Yonsei Medical Journal
Year:
2014
Document type:
Article