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Indications for Tracheostomy in Northern Ghana

Indications for Tracheostomy in Northern Ghana. Dr. Michael C. Damah, Dr. T heophilus Adjeso, Dr. James Murphy. BACKGROUND. Important surgical procedure in maintaining a patent airway in the patient requiring an alternate airway. In Northern Ghana ( 3 Regions) , referrals to the TTH

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Indications for Tracheostomy in Northern Ghana

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  1. Indications for Tracheostomy in Northern Ghana Dr. Michael C. Damah, Dr. Theophilus Adjeso, Dr. James Murphy

  2. BACKGROUND Important surgical procedure in maintaining a patent airway in the patient requiring an alternate airway. In Northern Ghana (3 Regions), referrals to the TTH late presentation 3 Otolaryngologists

  3. BACKGROUND • Upper airway obstruction – commonest indication in Nigeria. 1,2,3. same in Ghana? • Laryngeal tumors commonest cause of UAO • Laryngeal Ca. in adults and JRRP in children. • Mainly emergency procedure. • Percutaneous tracheostomy with Bronchoscopy now mainstay for ICU patients.4

  4. AIM • To assess the indications for tracheostomy at the Tamale Teaching Hospital

  5. MATERIALS AND METHODS • 3½ year retrospective study (January 2013- June 2016). • Patients managed with an open surgical tracheostomy by the ENT Unit of the Department of Surgery, Tamale Teaching Hospital in the Northern Region of Ghana. • Data of patients who had a tracheostomy in the study period were retrieved from theatre records. • Data on Age, Sex, Indication for tracheostomy, Underlying cause and Type of tracheostomy were taken.

  6. RESULTS • 36 patients had open surgical tracheostomy.

  7. CONCLUSION • Upper Airway Obstruction secondary to deep neck space infections is the main indication for tracheostomy in Northern Ghana.

  8. REFERENCES • Orji FT, EzeanolueBC.Updateon the pattern of tracheostomies at a tertiary health institution after 27 years.NigerianJournal of Otorhinolaryngology Vol. 3(1) 2006: 8-15 • AdedejiTO, Tobih JE, Olaosun AO, Idowu J. Indications and outcomes of tracheostomy: An experience in a resource-limited environment. J Health Res Rev 2014;1:40-3 • Adoga AA, Ma'anND. Indications and outcome of pediatric tracheostomy: results from a Nigerian tertiary hospital. BMC Surgery 2010; 10:2 • Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique, and outcomes.Respir Care. 2014; 59(6): 895-915

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