Die Visiertracheotomie – eine retrospektive Analyse der postoperativen Komplikationen im Vergleich zur Tracheotomie mit einem kaudal gestielten Knorpellappen
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Abstract
Introduction: For decades the tracheostomy using a Bjoerk-flap has been the standard procedure to create a reliable epithelialized tracheostomy in head and neck tumor surgery. Creating the Bjoerk-flap requires splitting 1-2 tracheal rings causing potential tracheal instability and tissue trauma. As a surgical alternative the visor tracheostomy allows to create an epithelialized tracheostomy without splitting tracheal rings. The aim of this work was to prove the safety of the visor tracheotomy method due to peri- and early postoperative complications.
Material and Methods: Data from surgical protocols and patient charts were evaluated retrospectively. Complications such as infection, bleeding, granulation, tube dislocation and tracheostoma stenosis of 139 tracheostomies with Bjoerk flap method and 109 visor tracheostomies were compared.
Results: The results of our clinical data showed no significant differences due to risk and complications between the two compared techniques. The data proved the safety of this "new method", especially in early postoperative complication rate.