Zusammenfassung
Tracheotomien werden zunehmend auch bei Kindern im Rahmen der Langzeitbehandlung durchgeführt. Dabei sind spezifische kindliche Aspekte zu berücksichtigen: Unterschiede bei der Anatomie gegenüber Erwachsenen, die Notwendigkeit einer späteren Rekonstruktion und die negativen Einflüsse auf die orale Nahrungsaufnahme und den Spracherwerb. Die Betreuung eines kindlichen Patienten mit einem Tracheostoma stellt höhere Ansprüche an die Umgebung als bei einem Erwachsen. Dem muss durch die Zusammenarbeit eines spezialisierten Teams in der Klinik und der ambulanten Nachsorge Rechnung getragen werden.
Abstract
Tracheotomies are increasingly performed in the pediatric population in the context of long-term treatment. There are specific pediatric aspects that require attention: differences in the pediatric compared to adult anatomy, the necessity for later reconstruction and the negative impact on oral feeding and speech development. Caring for pediatric tracheostomy patients is more challenging compared to adult patients. This needs to be addressed by a dedicated team during both in- and outpatient treatment.
Literatur
Al-Samri M, Mitchell I, Drummond DS et al (2010) Tracheostomy in children: a population-based experience over 17 years. Pediatr Pulmonol 45:487–493
Alladi A, Rao S, Das K et al (2004) Pediatric tracheostomy: a 13-year experience. Pediatr Surg Int 20:695–698
Ang AH, Chua DY, Pang KP et al (2005) Pediatric tracheotomies in an Asian population: the Singapore experience. Otolaryngol Head Neck Surg 133:246–250
Arcand P, Granger J (1988) Pediatric tracheostomies: changing trends. J Otolaryngol 17:121–124
Bartels H (2005) Tracheotomy and tracheostomy techniques. Chirurg 76:507–514
Black TL, Fernandes ET, Carr MG (1988) Preventing accidental decannulations following tracheostomy. J Pediatr Surg 23:143
Carr MM, Poje CP, Kingston L et al (2001) Complications in pediatric tracheostomies. Laryngoscope 111:1925–1928
Chew JY, Cantrell RW (1972) Tracheostomy. Complications and their management. Arch Otolaryngol 96:538–545
Cochrane LA, Bailey CM (2006) Surgical aspects of tracheostomy in children. Paediatr Respir Rev 7:169–174
Corbett HJ, Mann KS, Mitra I et al (2007) Tracheostomy–a 10-year experience from a UK pediatric surgical center. J Pediatr Surg 42:1251–1254
Covidien F (2011) Shiley accessoires. Katalog der Fa. Covidien, Dublin, Irland
Davis GM (2006) Tracheostomy in children. Paediatr Respir Rev 7(Suppl 1):206–209
Donnelly MJ, Lacey PD, Maguire AJ (1996) A twenty year (1971–1990) review of tracheostomies in a major paediatric hospital. Int J Pediatr Otorhinolaryngol 35:1–9
Dubey SP, Garap JP (1999) Paediatric tracheostomy: an analysis of 40 cases. J Laryngol Otol 113:645–651
Freezer NJ, Beasley SW, Robertson CF (1990) Tracheostomy. Arch Dis Child 65:123–126
Fry TL, Jones RO, Fischer ND et al (1985) Comparisons of tracheostomy incisions in a pediatric model. Ann Otol Rhinol Laryngol 94:450–453
Gaudet PT, Peerless A, Sasaki CT et al (1978) Pediatric tracheostomy and associated complications. Laryngoscope 88:1633–1641
Hadfield PJ, Lloyd-Faulconbridge RV, Almeyda J et al (2003) The changing indications for paediatric tracheostomy. Int J Pediatr Otorhinolaryngol 67:7–10
Hall SS, Weatherly KS (1989) Using sign language with tracheotomized infants and children. Pediatr Nurs 15:362–367
Hill BP, Singer LT (1990) Speech and language development after infant tracheostomy. J Speech Hear Disord 55:15–20
Ilce Z, Celayir S, Tekand GT et al (2002) Tracheostomy in childhood: 20 years experience from a pediatric surgery clinic. Pediatr Int 44:306–309
Lewis CW, Carron JD, Perkins JA et al (2003) Tracheotomy in pediatric patients: a national perspective. Arch Otolaryngol Head Neck Surg 129:523–529
Mahadevan M, Barber C, Salkeld L et al (2007) Pediatric tracheotomy: 17 year review. Int J Pediatr Otorhinolaryngol 71:1829–1835
Midwinter KI, Carrie S, Bull PD (2002) Paediatric tracheostomy: Sheffield experience 1979–1999. J Laryngol Otol 116:532–535
Onakoya PA, Nwaorgu OG, Adebusoye LA (2003) Complications of classical tracheostomy and management. Trop Doct 33:148–150
Palmer PM, Dutton JM, Mcculloch TM et al (1995) Trends in the use of tracheotomy in the pediatric patient: the Iowa experience. Head Neck 17:328–333
Prescott CA, Vanlierde MJ (1989) Tracheostomy in children–the Red Cross War Memorial Children’s Hospital experience 1980–1985. Int J Pediatr Otorhinolaryngol 17:97–107
Ramku EM, Ramku RM, Behramaj AM et al (2009) Considerations for children’s tracheostomy report of 30 patients seen in a 4 year period. Niger J Med 18:59–62
Richter T, Sutarski S (2009) Tracheostoma. Handling and complications. Anaesthesist 58:1261–1272, (quiz 1273–1264)
Smiths (2011) Speaking valve. ‚Tracheostomy supplement. Helping you sustain life’. Katalog der Fa. Smiths Medical, Ashford/Kent, UK
Wetmore RF, Marsh RR, Thompson ME et al (1999) Pediatric tracheostomy: a changing procedure? Ann Otol Rhinol Laryngol 108:695–699
Interessenkonflikt
Die korrespondierende Autorin erklärt, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
König, A. Tracheotomie bei Kindern. HNO 60, 581–589 (2012). https://doi.org/10.1007/s00106-011-2383-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00106-011-2383-z