Indications and Outcomes of Tracheostomy: A Descriptive Study Using the Outcome-Based Evaluation Forms of Otorhinolaryngology - Head and Neck Surgery Department in a Tertiary Hospital (2016-2020)


Introduction: Tracheostomy is a surgical procedure that creates a neck opening directly into the trachea, typically performed to establish an alternative airway for individuals who experience difficulty breathing as a result of certain medical conditions. Tracheostomy can be temporary or permanent, and it plays a crucial role in the management of both acute and chronic respiratory issues and can significantly improve the quality of life for those who require it.

Objective: This study aims to investigate the incidence, common indications and outcomes of tracheostomy in the Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) department of a tertiary hospital in Manila, Philippines.

Methodology: This is a retrospective descriptive study including all admissions and in-patient referrals to the clinical division of the Department of Otorhinolaryngology-Head and Neck Surgery who underwent tracheostomy from January 2016 to December 2020. Data were retrieved by review of medical records and Outcome Based Evaluation (OBE) form of all patients who underwent tracheostomy during the study period.

Results: Our study involved 74 patients with a male-to-female ratio of 22:15. The patients' ages ranged from 5 to 89 years. Prolonged intubation was the main reason for tracheostomy, followed by upper airway obstruction due to supraglottic mass for males and vocal cord paralysis for females. Only three patients who had tracheostomy experienced complications and were managed accordingly.

Conclusion: Tracheostomy is one of the most valuable and reliable surgical procedures for managing airway obstructions. Proper patient and caregiver education as well as constant follow-up are crucial to prevent complications.

Keywords: Airway, Tracheostomy, ORL-HNS, Outcome Based Evaluation form, Head and Neck Surgery

  1. Pahor AL. Ear, nose, and throat in Ancient Egypt . J Laryngol Otol. 1992;106:773–9.

  2. Das P, Zhu H, Shah RK, Roberson DW, Berry J, Skinner ML. Tracheotomy-related catastrophic events: results of a national survey. Laryngoscope [Internet]. 2012;122(1):30–7. Available from:

  3. Flint PW, Haughey BH, Lund VJ, Niparko JK, Robbins KT, Regan Thomas J. Cummings otolaryngology - international edition: Head and neck surgery, 3-volume set. 7th ed. Vol. 1. Philadelphia, PA: Elsevier - Health Sciences Division; 2020. pp 81-83, 87-88

  4. Gupta A, Gupta P, Mahajan V, Jamwal PS. Tracheostomy in a tertiary care hospital: epidemiology, indications and complications. Int J Otorhinolaryngol Head Neck Surg [Internet]. 2020;6(5):826. Available from:

  5. Ashwin Menon M, Deepa R, Balakrishnan E, Aswin Mukundan, et al. Tracheostomy: A hospital based descriptive study. MedPulse International Journal of ENT . February 2017;1(2):31-39. Available from: (accessed 14 February 2017)

  6. Xin G, Ruohoalho J, Bäck L, et al. Analysis of 255 tracheostomies in an otorhinolaryngology-head and neck surgery tertiary care center: a safe procedure with a wide spectrum of indications. Eur Arch Otorhinolaryngol [Internet]. 2019;276(7):2069–73. Available from:

  7. Ajiya A. Pattern of tracheostomy-related complications and its determinants in Kano: a ten-year single institution experience. J Med Trop 2020;22:93-9.

  8. Adjeso T, Damah MC, Anyomih T. Indications and outcomes of tracheostomy in Northern Ghana. gcps [Internet]. 2022;8(2):123–7. Available from:

  9. Chavan RP, Ingole SM, Mane B, Kalekar TM, et al. Tracheostomy: Experience at tertiary hospital. Indian J Otolaryngol Head Neck Surg [Internet]. 2019;71(Suppl 1):580–4. Available from:

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