Abstract
210 cases of a tracheotomy were performed during 6-year period (1964-1969) in our clinic. In 119 cases among them the emergency tracheotomy was made. In 91 cases the elective tracheotomy was made.
The emergency tracheotomy was made in the cases of the larygeal cancer, the hypopharyngeal cancer, the bronchial foreign body, the laryngeal trauma and the laryngeal edema.
The elective tracheotomy was made in the operation of the carcinoma of the maxilla, the carcinoma of the tongue, the epipharyngeal tumor and the mandibular tumor.
The complications after the tracheotomy mainly occured in the emergency tracheotomy. Six cases died after the tracheotomy. Difficult decanulements were found in three cases, pneumonia in three cases, the subcutaneous emphysema in two cases and bleeding after the tracheotomy in one case.
Cases of death after the tracheotomy were shown in infants under three years old and aged people over sixty-five years old. This is due to that infants and aged people have little resistance to anoxia and interventions and changes of the respiratory tract.
The difficult decanulements were showed in one-year girl performed inferiorbronchoscopy and trauma of the larynx caused by the traffic accidents. in these cases of the traffic accidents patients had lost their consciousness.
