E-ISSN 2602-4837
The Turkish Journal of Ear Nose and Throat [Tr-ENT]
Tr-ENT. 2018; 28(1): 9-14 | DOI: 10.5606/Tr-ENT.2018.67915

Topographic landmarks in the evaluation of surgical time, morbidity and complications of tracheotomy

Sema Zer Toros1, Çiğdem Kalaycık Ertugay2, Başak Çaypınar3, Elif Akyol Şen1, Çiğdem Tepe Karaca1, Ayşegül Verim1, Çagatay Oysu4
1Department of Otolaryngology, Haydarpasa Numune Training and Research Hospital, İstanbul, Turkey
2Department of Otolaryngology, İstanbul Training and Research Hospital, İstanbul, Turkey
3Department of Otolaryngology, Ümraniye Training and Research Hospital, İstanbul, Turkey
4Department of Otolaryngology, Medicine Faculty of Marmara University, İstanbul, Turkey

INTRODUCTION: This study aims to measure some topographic points and distances in the neck and investigate the effect of these topographic measurements on operative duration and complication rate.
METHODS: This observational prospective study included 65 patients (38 males, 27 females; mean age 66.1±12.1 years; range 23 to 85 years) who were performed conventional open tracheotomy Haydarpasa Numune Training and Research Hospital between May 2012 and July 2014. Patients’ age, gender and weight (body mass index), duration of the procedure, and peri- and postoperative complications were recorded. Mentum (M)-suprasternal notch (SN) and cricoid cartilage (CC)-SN distances were measured with a measuring tape. Neck circumference was measured at the levels of CC and cricothyroid membrane.
RESULTS: Operative duration was significantly longer in obese patients compared to normal weight and overweight patients (p=0.002; p=0.026; p<0.05). Perioperative complication rate was significantly lower in normal weight patients than overweight and obese patients (p=0.004; p<0.01). There was a statistically significant inverse correlation between the CC-SN distance and operative duration (r=-0.431; p=0.001; p<0.01). M-SN distance was significantly shorter in patients with perioperative complications (p=0.003, p<0.01).
DISCUSSION AND CONCLUSION: According to the study results, operative duration lengthens and perioperative complication rate increases as the weight increases and the neck length shortens.

Keywords: Body mass index, neck circumference, neck length, tracheotomy.

Sema Zer Toros, Çiğdem Kalaycık Ertugay, Başak Çaypınar, Elif Akyol Şen, Çiğdem Tepe Karaca, Ayşegül Verim, Çagatay Oysu. Topographic landmarks in the evaluation of surgical time, morbidity and complications of tracheotomy. Tr-ENT. 2018; 28(1): 9-14

Sorumlu Yazar: Çiğdem Kalaycık Ertugay, Türkiye
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