Vol.98 No.6 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 98 No. 6 June 2005
Clinical Analysis of Tracheostomy in Infant
Nobuo Takagi, Yasuko Ochi, Syouko Hori,
Fumihiko Sado, Shigeyasu Ishizaka and Keigo Tatemoto
(Kyoto First Red Cross Hospital)
Tracheostomy was performed in 7 patients during a 3-year period (2002-2004) at our hospital. The causative diseases were central nervous system disorders (3 cases), laryngo-tracheal stenosis (1 case), Edwards syndrome (trisomy 18) (1 case), Werdnig-Hoffmann disease (1 case), Trauma (1 case). Five cases were neonates less than one day old.
A vertical incision is made in the midline of the trachea. A 4-0 nylon suture is then placed through the tracheal wall on either side of the vertical incision.
Complications after surgery included 3 cases of stomal granulation. Staphylococcus aureus (MRSA) was detected in the peristomal region in 2 of these three. Therefore, MRSA infection seemed to be one of the factors precipitating the development of granulation.
Key words : tracheostomy in infant, stomal granulation, MRSA infection