TY - JOUR
T1 - Usefulness of permanent tracheostoma in chronic brain injured patients
T2 - A case series
AU - Won, Yu Hui
AU - Jeon, Seo Young
AU - Kim, Han Su
AU - Bae, Hasuk
N1 - Publisher Copyright:
© Yonsei University College of Medicine 2014.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - 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.
AB - 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.
KW - Chronic brain injury
KW - Permanent tracheostoma
KW - Rehabilitation
KW - Tracheostomy
UR - http://www.scopus.com/inward/record.url?scp=84908225246&partnerID=8YFLogxK
U2 - 10.3349/ymj.2014.55.6.1743
DO - 10.3349/ymj.2014.55.6.1743
M3 - Article
C2 - 25323915
AN - SCOPUS:84908225246
VL - 55
SP - 1743
EP - 1746
JO - Yonsei Medical Journal
JF - Yonsei Medical Journal
SN - 0513-5796
IS - 6
ER -