Usefulness of permanent tracheostoma in chronic brain injured patients: A case series

Yu Hui Won, Seo Young Jeon, Han Su Kim, Hasuk Bae

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)1743-1746
Number of pages4
JournalYonsei Medical Journal
Volume55
Issue number6
DOIs
StatePublished - 1 Nov 2014

Keywords

  • Chronic brain injury
  • Permanent tracheostoma
  • Rehabilitation
  • Tracheostomy

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