Hostname: page-component-745bb68f8f-grxwn Total loading time: 0 Render date: 2025-01-09T04:32:14.621Z Has data issue: false hasContentIssue false
  • English
  • Français

Tracheostomy closure in restrictive respiratory insufficiency

Published online by Cambridge University Press:  29 June 2007

S. A. Hickey ,
G. R. Ford ,
J. N. G. Evans ,
J. A. Patrick  and
G. T. Spencer
S. A. Hickey
Affiliation:
Department of ENT Surgery and Lane Fox Respiratory Unit, St Thomas‘ Hospital, London SEI 7EH.
G. R. Ford
Affiliation:
Department of ENT Surgery and Lane Fox Respiratory Unit, St Thomas‘ Hospital, London SEI 7EH.
J. N. G. Evans
Affiliation:
Department of ENT Surgery and Lane Fox Respiratory Unit, St Thomas‘ Hospital, London SEI 7EH.
J. A. Patrick
Affiliation:
Department of ENT Surgery and Lane Fox Respiratory Unit, St Thomas‘ Hospital, London SEI 7EH.
G. T. Spencer*
Affiliation:
Department of ENT Surgery and Lane Fox Respiratory Unit, St Thomas‘ Hospital, London SEI 7EH.
*
G. T. Spencer O.B.E., F.F.A.R.C.S., Lane Fox Respiratory Unit, St Thomas' Hospital, London SF1 7EH. Department of ENT Surgery and Lane Fox Respiratory Unit, St Thomas' Hospital, London SE1 7EH.
Get access Rights & Permissions [Opens in a new window]

Abstract

A retrospective study is presented of 31 patients who required ventilatory support via a tracheostomy for periods of one month to 27 years whilst in a tertiary referral centre for the care of patients with restrictive respiratory insufficiency. All patients underwent closure of a long-standing tracheostomy. Post-operative follow-up periods of up to 16 years are documented. The indications for and the complications of tracheostomy closure in patients with severe chronic restrictive respiratory insufficiency requiring long-term respiratory support are discussed. It is concluded that the benefits of operative tracheostomy closure outweigh the disadvantages in this unusual type of patient.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 11 , November 1990 , pp. 883 - 886
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alba, A., Kahn, A., Lee, N. (1981) Mouth intermittent positive pressure for sleep. Rehabilitation Gazette, 24: 47–49.Google Scholar
Ardran, G. M., Kelleher, W. H., Kemp, F. H. (1959) Cineradiographic studies of glossopharyngeal breathing. British Journal of Radiology, 32: 322–328.CrossRefGoogle ScholarPubMed
Bradley, R. D., Spencer, G. T., Semple, S. J. G. (1964) Tracheostomy and artificial ventilation in the treatment of acute exacerbations of chronic lung disease. Lancet, 1: 854–859.CrossRefGoogle ScholarPubMed
Cumming, G., Semple, S. J. G. (1973) Management of ventilatory failure. In: Disorders of the Respiratory System. Blackwell Scientific Publications, Oxford: p 203.Google Scholar
Gilston, A. (1961) Modifications of the Negus tracheostomy tube. Lancet, 1: 1326.Google Scholar
Kelleher, W. H. (1961) A new pattern of iron lung for the prevention and treatment of airway complications in paralytic disease. Lancet, 2: 1113–1116.CrossRefGoogle ScholarPubMed
McClelland, R. M. A. (1965) Complications of tracheostomy. British Medical Journal, 2: 567–569.CrossRefGoogle ScholarPubMed
Patrick, J. A., Meyer-Witting, M., Reynolds, F., Spencer, G. T. (1990) Perioperative care in restrictive respiratory disease. Anaesthesia, 45: 390–395.CrossRefGoogle ScholarPubMed
Tobey, R. E., Jacobsen, P. M., Kahie, C. T., Clubb, R. J., Dean, N. A. (1972) The serum potassium response to muscle relaxants in neural injury. Anesthesiology, 37: 332–337.CrossRefGoogle ScholarPubMed
Trend, P. St. J., Wiles, C. M., Spencer, G. T., Morgan-Hughes, J. A., Lake, B. D., Patrick, A. D. (1985) Acid maltese deficiency in adults. Brain, 108: 845–860.CrossRefGoogle Scholar