PMID: 16527024Mar 11, 2006Paper

Prospective randomized trial comparing the effect of early suturing of tracheostomy sites on postoperative patient swallowing and rehabilitation

The Journal of Otolaryngology
James T BrookesJeffrey R Harris

Abstract

This study was designed to evaluate the effect of tracheostomy site suturing after decannulation on swallowing rehabilitation, the incidence of postoperative complications, the length of hospital stay, and overall cost saving in patients undergoing major head and neck cancer resections. Prospective, randomized, blinded, controlled clinical trial. Seventy-five patients undergoing major head and neck cancer resections were block randomized to have their tracheostomy site sutured or not sutured at the time of decannulation. Two blinded speech-language pathologists conducted bedside swallowing assessments immediately after decannulation. Patients resumed oral feedings if they passed; otherwise, the assessment was repeated daily until they were able to resume oral feedings or required a G-tube. We monitored (1) time intervals during the admission from surgery to discharge, (2) the rate of aspiration, (3) complications, and (4) cost savings. Significant differences were seen in the mean time from decannulation and commencement of swallowing (suture arm, 0.58 days; nonsuture arm, 2.7 days; p = .013). There was also a significant difference seen for the time interval from decannulation to discharge from hospital (suture arm, 5.5 days; ...Continue Reading

Citations

Apr 7, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery·Joseph MenzinLauren N Manning
Dec 20, 2013·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Jonathan F DautremontJoseph C Dort
May 21, 2014·PharmacoEconomics·Erika WissingerChris L Pashos
Apr 26, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Laura-Jayne Watson, Caroline Ewers
Sep 7, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Laura K TapiovaaraAnni I M Koskinen
Apr 7, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery

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