title: [Permanent tracheotomy in respiratory insufficiency].
abstract: Assisted ventilation at home for breathing insufficiencies requires long-term tracheotomy. Standard tracheotomy is frequently complicated by granuloma and tracheostomy stenosis. We have designed a permanent opening technique that we report on 9 patients. The technique prevents, as far as possible, granuloma and stenosis formation and provides a sufficiently large opening to reduce irritation during tracheotomy tube change. Surgery must be done under general anesthesia. High-dose long-term corticosteroid treatment can induce skin breakdown.
authors.affiliation: Service d'O.R.L. et de Chirurgie Cervico-Faciale, Cliniques Universitaires de Mont Godinne, Yvoir-Belgique.
authors.forename: M
authors.initials: M
authors.lastname: Remacle
authors.forename: V
authors.initials: V
authors.lastname: Mustin
authors.forename: L
authors.initials: L
authors.lastname: Delaunois
authors.forename: J
authors.initials: J
authors.lastname: Van den Eeckhaut
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial / Q000379:methods; D012131:Respiratory Insufficiency / Q000601:surgery* / Q000628:therapy; D014139:Tracheostomy / Q000379:methods*
vernacular_title: Trachéotomie permanente chez les insuffisants respiratoires.