Tracheotomy for the management of postoperative period of oral and oropharyngeal cancer

概要

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It is well known that tracheotomy disturbs swallowing function by preventing the laryngeal elevation during swallowing. In order to evaluate the necessity of tracheotomy in extensive resection of oral and oropharyngeal cancer requiring reconstruction, twelve non-trachetomized cases were compared with 10 tracheotomized ones about speech communication and oral feeding in the postoperative period. It was revealed that non-tracheotomized cases tended to have shorter postoperative periods until they could utter and eat without feeding tubes. Nontracheotomized patients required special care in timing of airway tube removal and postoperative management. However, we had no case with serious complications like aspiration pneumonia or dyspnea. From these results, we can conclude that, in most cases, we can safely manage the patients with oral or oropharyngeal cancer, without tracheotomy, during the postoperative periods. Thus we must be very careful to decide the indication of tracheotomy in such cases.
特定非営利活動法人日本頭頸部外科学会の論文