APPROACHES TO TRACHEOSTOMY IN PATIENTS WITH DEEP NECK BURNS AND INHALATION INJURY

Abstract

The OBJECTIVE is to evaluate the results of introduction of the new method of preparation in patients with deep neck burns to the imposition of tracheostomy. MATERIAL AND METHODS. The study included 124 patients with extensive deep burns and inhalation injury. The method of treatment consisted of early (3–4 days from the moment of injury) necrectomy with simultaneous autodermoplasty in the projection of the anterior surface of the neck and torso on the area of 1–1.5% of the body surface. Tracheostomy was performed after graft engraftment. RESULTS. According to the proposed method, 20 patients were operated. 17 of them were subjected tracheostomy through the restored skin on 11.6±1.8 days. CONCLUSION. The method of the early recovery of th skin in the projection of tracheostomy in patients with deep burns of the neck allows to safely subject tracheostomy through the restored skin on 8–14 days from the moment of the burn.

Keywords

• tracheostomy
• inhalation injury
• burns