• Ann Oto Rhinol Laryn · Sep 2000

    Meta Analysis Comparative Study

    Dilatational versus standard tracheostomy: a meta-analysis.

    • E Cheng and W E Fee.
    • Division of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, California 94305-5328, USA.
    • Ann Oto Rhinol Laryn. 2000 Sep 1;109(9):803-7.

    AbstractThe advent of percutaneous dilatational tracheostomy (PDT) was initially viewed by otolaryngologists with great skepticism. The purpose of this study was to compare the complications of PDT with those of standard tracheostomy (ST) by a meta-analysis of randomized studies. We found that ST had a fivefold higher rate of complications than did PDT, and these complications were often more severe. We conclude that PDT is a safer procedure for elective tracheostomy in carefully selected patients, ie, those with normal-sized necks.

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