Usefulness of Permanent Tracheostoma in Chronic Brain Injured Patients: A Case Series.
10.3349/ymj.2014.55.6.1743
- Author:
Yu Hui WON
1
;
Seo Young JEON
;
Han Su KIM
;
Hasuk BAE
Author Information
1. Department of Physical Medicine and Rehabilitation, Chonbuk National University Medical School, Jeonju, Korea.
- Publication Type:Case Reports
- Keywords:
Permanent tracheostoma;
chronic brain injury;
tracheostomy;
rehabilitation
- MeSH:
Brain Injuries/complications/*rehabilitation;
Humans;
Male;
Middle Aged;
Trachea/*surgery;
Tracheostomy/*methods;
Treatment Outcome
- From:Yonsei Medical Journal
2014;55(6):1743-1746
- CountryRepublic of Korea
- Language:English
-
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.
