The long-term evaluation of tracheostomy in the management of XXXX .

@entity1 @entity353 @entity5 @entity27 @entity292 @entity583 @entity18296 @entity204 @entity25
OBJECTIVE: To determine the long-term success and morbidity of tracheostomies for @entity1 with @entity27 . STUDY DESIGN: A retrospective study of @entity1 who have undergone tracheostomy for @entity27 at Hennepin County Medical Center since 1979. METHODS: Retrospective chart review of all tracheostomy @entity1 operated January 1, 1979, to June 30, 1999, were evaluated. Follow-up data from @entity1 records, death certificates, and @entity18296 . RESULTS: Seventy-nine @entity1 (70 @entity1 and 9 @entity1 ; age range, 25-70 y; mean age, 47 y) received tracheostomies at a regional @entity25 center. Respiratory distress index ranged from 45 to 146 (mean value, 81). @entity27 in all cases. Follow-up ranged from 3 months to 20 years (mean period, 8.3 y). In all, 16 @entity1 had decannulation (range, 2 mo to 13 y): 5 of the @entity1 chose continuous positive airway pressure, 3 grew intolerant of their tracheostomy, 3 had @entity27 fully resolve after uvulopalatopharyngoplasty, 3 unknown diagnosis for decannulation, 2 had significant @entity353 . Morbidity seen within the first year was primarily limited to granulation tissue, infection, and stoma revision. Fourteen @entity204 were identified. Average age at time of death was 62 years. Five @entity204 were cardiopulmonary related, four were from @entity5 , two were from postoperative complications of unrelated surgery, and one was from aspiration. Tracheostomy-related mortality included one @entity583 and one @entity292 . CONCLUSION: @entity27 and its comorbid conditions are effectively treated in the long term with tracheostomy. Initial management of more frequent complication is well tolerated. Significant morbidity and mortality are low. @entity27 resolution allowing decannulation remain poor.
