Le Fort fractures present complex challenges in airway management, and the optimal timing for tracheostomy in these cases remains controversial. This study compares preoperative tracheostomy under local anesthesia with post-surgical tracheostomy under general anesthesia in patients with Le Fort fractures II-III. Airway management
Conditions
Interventions
Patient with Le Fort Fractures II III receives preoperative tracheostomy,Patient with Le Fort Fractures II III undergoes post-surgical interventional tracheostomy
Health Services Research,Health Services Research
Local anesthesia patients,General anesthesia patients
Sponsors
None listed
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with Le Fort fractures II-III. 2. Patients who underwent tracheostomy for the treatment of their fractures.
Exclusion criteria
Exclusion criteria: 1. Patients with incomplete medical records. 2. Patients with concomitant major head and neck injuries.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Conduct a comparative analysis of the utilization of preoperative tracheotomy under local anesthesia versus post-surgical tracheostomy under general anesthesia Preoperative tracheostomy under local anesthesia and intubation before surgery with post-surgical tracheostomy under general anesthesia The decision on the timing of tracheostomy in patients with Le Fort fractures | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparing fundamental patient information across the two groups 2 hour after procedure Evaluating pain scores, assessing vital signs and analgesic administration, and identifying complications such as bleeding or other adverse events. | — |
Countries
Thailand
Contacts
Public ContactSupanadee Jianwittayakit
Faculty of Medicine Siriraj Hospital, Mahidol University
Outcome results
None listed