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Mini Tracheostomy for Obstructive Sleep Apnea: An Evidence Based Proposal
Joint Authors
Zaghi, Soroush
Camacho, Macario
Certal, Victor
Chang, Edward T.
Song, Sungjin A.
Szelestey, Blake
Source
International Journal of Otolaryngology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-26
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
To search for articles evaluating the use of tracheostomies (either permanent stomas or tracheostomy tubes) in adult obstructive sleep apnea (OSA) patients and to evaluate the potential for the use of mini tracheostomies as treatment for OSA.
Study Design.
Systematic review.
Methods.
Nine databases were searched from inception through July 21, 2015.
Results.
The overall tracheostomy search yielded 516 articles, of which eighteen studies provided polysomnographic data.
No study was identified (empty review) for the use of mini tracheostomies for treating OSA.
The mini tracheostomy search yielded ninety-five articles which describe findings for either mini tracheostomy kits (inner cannula diameter of 4 mm) or the performance of mini tracheotomies.
Six articles described the use of mini tracheostomies as a temporary procedure to relieve acute upper airway obstruction and none described the use for OSA.
For tracheostomy stomal sites, suturing the skin directly to the tracheal rings with defatting can minimize stomal site collapse.
The smallest tracheostomy stomal size that can successfully treat OSA has not been described.
Conclusion.
Mini tracheostomies as small as 4 mm have been successfully used in the short term to relieve upper airway obstruction.
Given that polysomnography data are lacking, additional research is needed.
American Psychological Association (APA)
Camacho, Macario& Zaghi, Soroush& Chang, Edward T.& Song, Sungjin A.& Szelestey, Blake& Certal, Victor. 2016. Mini Tracheostomy for Obstructive Sleep Apnea: An Evidence Based Proposal. International Journal of Otolaryngology،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1106422
Modern Language Association (MLA)
Camacho, Macario…[et al.]. Mini Tracheostomy for Obstructive Sleep Apnea: An Evidence Based Proposal. International Journal of Otolaryngology No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1106422
American Medical Association (AMA)
Camacho, Macario& Zaghi, Soroush& Chang, Edward T.& Song, Sungjin A.& Szelestey, Blake& Certal, Victor. Mini Tracheostomy for Obstructive Sleep Apnea: An Evidence Based Proposal. International Journal of Otolaryngology. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1106422
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1106422