Tracheostomy in head-neck malignancy

Authors

  • Mohammad Ashequr Rahman Bhuiyan Junior Consultant, Upazila Health Complex Nasirnagar, Brahmanbaria
  • Md Shazibur Rashid Junior Consultant, Upazila Health Complex Nasirnagar, Brahmanbaria
  • Md Kamruzzaman Junior Consultant, Khulna Medical college Hospital, Khulna
  • Mohammed Shafiqul Islam OSD, DGHS, Dhaka, Bangladesh
  • Khabir Uddin Ahmed Professor, Department of Otolarygology- Head & Neck Surgery, Shahid Sohrawardi Medical College Hospital, Dhaka

DOI:

https://doi.org/10.3329/bjo.v16i2.6847

Keywords:

Tracheostomy, Head Neck Cancer

Abstract

Objectives: To find out the frequency ,indications and effects of tracheostomy in head-neck malignancy.

Methods: Total 100 cases of head-neck malignancy that needed tracheostomy were studied in the department of Otolaryngology and Head-Neck surgery of Dhaka Medical College Hospital and Begum Khaleda Zia Medical College and Shahid Sohrawardi Hospital, Dhaka.

Results: The mean age of the subjects was 53.60 years. Out of 100 cases male were 86 and female were 14 with male to female ratio 6.14:1. The highest number of the subjects were related to cultivation and majority of the subjects came from poor socio-economic status. Malignancy in head-neck region is multifactorial disease. Regarding habits 71% were smoker, 21% were habituated with chewing betel nut and leaf. Only 2% were alcoholic. In 93% tracheostomy was done on an emergency basis and rest 7% was elective. Carcinoma of larynx was the most frequent indication (65%), which was followed by carcinoma pyriform fossa (28%), carcinoma base of the tongue (3%), carcinoma tonsil 2% and carcinoma thyroid gland 2%. The rate of complications was 41%. Surgical emphysema was the commonest complications (19%), which were followed by haemorrhage (7%), wound infection (4%), tube displacement (3%), tube blockage (3%), crusting (2%), stomal stenosis and subglottic stenosis (1%). No fatality was found in this study.

Conclusion: The rate of complication of tracheostomy is high in patients of head-neck malignancy with respiratory distress.

Key words: Tracheostomy; Head Neck Cancer.

DOI: 10.3329/bjo.v16i2.6847

Bangladesh J Otorhinolaryngol 2010; 16(2): 120-125

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How to Cite

Bhuiyan, M. A. R., Rashid, M. S., Kamruzzaman, M., Islam, M. S., & Ahmed, K. U. (2011). Tracheostomy in head-neck malignancy. Bangladesh Journal of Otorhinolaryngology, 16(2), 120–125. https://doi.org/10.3329/bjo.v16i2.6847

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