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Single cannula versus double cannula tracheostomy tubes in major oral and oropharyngeal resections

Published online by Cambridge University Press:  28 December 2015

M Dhiwakar ,
G I Nambi ,
T V Ramanikanth ,
S M Kale  and
M N Sivakumar
M Dhiwakar*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kovai Medical Center and Hospital, Coimbatore, India
G I Nambi
Affiliation:
Department of Plastic Surgery, Kovai Medical Center and Hospital, Coimbatore, India
T V Ramanikanth
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Kovai Medical Center and Hospital, Coimbatore, India
S M Kale
Affiliation:
Department of Plastic Surgery, Kovai Medical Center and Hospital, Coimbatore, India
M N Sivakumar
Affiliation:
Department of Intensive Care, Kovai Medical Center and Hospital, Coimbatore, India
*
Address for correspondence: Dr M Dhiwakar, Department of Otolaryngology – Head and Neck Surgery, Kovai Medical Center and Hospital, Avinashi Road, Coimbatore – 641 014, India Fax: +91 422 4323800 E-mail: dhiwamahi@yahoo.com
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Abstract

Objective:

To compare the outcomes of two types of tracheostomy tubes used in major head and neck surgery.

Methods:

A retrospective study was conducted of prospectively collected data. The post-operative safety and adequacy of a single cannula tracheostomy tube was compared to a double cannula tracheostomy tube in patients undergoing tracheostomy during major oral and oropharyngeal resections.

Results:

Out of 46 patients with the single cannula tube, 7 (15 per cent) experienced significant obstruction warranting immediate tube removal, while another 9 (20 per cent) needed a change of tube or tube re-insertion for continued airway protection. In contrast, out of 50 patients with the double cannula tube, the corresponding numbers were 0 (p = 0.004) and 1 (2 per cent; p = 0.007) respectively.

Conclusion:

Insertion of a double cannula (instead of a single cannula) tracheostomy tube in the course of major oral and oropharyngeal resections offers better airway protection during the post-operative period.

Keywords

TracheostomyNeckSurgeryComplicationsOral CancerSuction
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 4 , April 2016 , pp. 388 - 392
Copyright
Copyright © JLO (1984) Limited 2015 

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