[Reduction of Tracheotomy Associated XXXX by Surgical Closure of the Tracheostomy].

@entity825 @entity1 @entity850 @entity6184
UNASSIGNED: Background: The most common long-term complication of tracheotomy is the benign @entity850 of the @entity825 , which is described for up to 20% of the cases. Typically, the @entity850 occurs after decannulation in the context of secondary wound healing. This study examined whether the closure of the tracheostomy by surgical procedure reduces @entity850 . Method: With the help of our clinical database a retrospective analysis of 401 surgical tracheotomies was performed. Variables that were recorded were the indication for tracheotomy, the clinical course and complications occurred. Results: 155 @entity1 were successfully decannulated. In 92 of these @entity1 the tracheostomy was closed by a surgical procedure, in 63 cases the closure occurred spontaneously by wound healing. After decannulation 3% (n=3) of the surgically closed and 22% (n=14) of the spontaneously closed tracheostomies developed a symptomatic @entity6184 (p<0.001). Conclusion: Secondary wound healing of the tracheostomy often leads to symptomatic @entity6184 . The incidence of symptomatic @entity6184 was significantly reduced applying closure of the tracheostomy by surgical procedure.
