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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.
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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

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