Evaluation of the Current Tracheostomy Indications in Medical City Complex
Background: Tracheostomy continues to be a surgical procedure for the management of
airway obstruction. It can be a life saving procedure when performed with appropriate
indications and surgical expertise.
Objectives: To evaluate the current indications for tracheostomy at a Medical City
Complex, Baghdad, Iraq.
Methods: This was a prospective study of (125) consecutive tracheostomies that were
performed during a one year period from May 2006 through May 2007 in Medical City,
Results: Ninety-three patients (74.4%) were males. Thirty-seven patients (29.6%) were in
their third decade. Tracheostomy indications were upper airway obstruction in eighty-four
patients (67.2%), assisted ventilation in twenty-two patients (17.6%) and for protection of
the tracheobronchial tree in nineteen patients (15.2%). Upper airway obstruction was due
to maxillofacial or neck injuries in forty-eight patients (57.1%), and laryngeal carcinoma in
twenty-seven patients (32.1%).
Conclusion: The upper airway obstruction was the major indication for tracheostomy in
our center with maxillofacial and neck injuries being the commonest cause.
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