Journal article
USE OF NASOTRACHEAL INTUBATION IN PATIENTS RECEIVING ORAL CAVITY FREE FLAP RECONSTRUCTION
Head & neck, Vol.32(8), pp.1056-1061
08/2010
DOI: 10.1002/hed.21291
PMID: 19953615
Abstract
Background. The aim of this study was to evaluate the effect airway management has on perioperative outcomes of patients undergoing oral cavity free flap reconstruction.
Methods. A retrospective review was performed on patients receiving oral cavity free flap reconstruction between March 2006 and October 2007. Patient, tumor, and treatment variables were recorded. Patients were managed with nasotracheal intubation (NTI) or elective tracheotomy and different perioperative outcomes were measured.
Results. Thirty-seven patients received Nil and 21 received tracheotomy. No patients in the Nil group required conversion to tracheotomy or reintubation. The mean total hospital stay was prolonged in the tracheotomy group (12.4 days vs 8.4 days), as was their likelihood of requiring a feeding tube at discharge (76% vs 19%). In multivariate analyses, placement of a tracheotomy was independently correlated with longer hospital stay and feeding tube dependence at discharge.
Conclusions. NTI is a safe alternative to tracheotomy for select patients receiving oral cavity free flap reconstruction and may reduce hospital stay and feeding tube dependence at discharge. (C) 2009 Wiley Periodicals, Inc. Head Neck 32: 1056-1061, 2010
Details
- Title: Subtitle
- USE OF NASOTRACHEAL INTUBATION IN PATIENTS RECEIVING ORAL CAVITY FREE FLAP RECONSTRUCTION
- Creators
- Michael G. Moore - Indiana UniversityAmit D. Bhrany - University of WashingtonDavid O. Francis - University of WashingtonBevan Yueh - University of MinnesotaNeal D. Futran - University of Washington
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.32(8), pp.1056-1061
- DOI
- 10.1002/hed.21291
- PMID
- 19953615
- NLM abbreviation
- Head Neck
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Publisher
- Wiley
- Number of pages
- 6
- Language
- English
- Date published
- 08/2010
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984966855102771
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