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ORIGINAL ARTICLE
Year : 2013  |  Volume : 16  |  Issue : 1  |  Page : 54-58

Permanent tracheostomy: Its social impacts and their management in Ondo State, Southwest, Nigeria


Departments of Ear, Nose and Throat-Head and Neck Surgery, State Specialist Hospital, Akure, Ondo State, Nigeria

Correspondence Address:
M I Akenroye
P.O. Box 3861, Akure, Ondo State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1119-3077.106751

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Background: Upper respiratory tract obstruction resulting from bilateral recurrent laryngeal nerve damage is commonly managed with permanent tracheostomy in our environment. Objective: To evaluate the social impacts of permanent tracheostomy and its management in Ondo State, Southwest Nigeria. Materials and Methods: Four patients were managed with permanent tracheostomy due to bilateral laryngeal nerve paralysis following thyroidectomy. The observed complications are grouped as surgical/medical and social complications. Results: Surgical/medical complications include excessive mucus production, 29 (43.2%), stoma infection 18 (26.8%), stoma polyp and soft tissue blockage of tube fenestrations were 10 (15%) each. The observed impacts on patients' social life include: Negative attitude of family members, difficulty with professional use of voice, problems of social integration and scarcity of tracheostomy tube with speaking valves. Conclusion: Management of social impacts of permanent tracheostomy is more difficult than other complications and family members must be involved in it.


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