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Indication of Tracheotomy in the ENT department of the Gabriel Toure University Hospital

Received: 2 April 2026     Accepted: 16 April 2026     Published: 28 April 2026
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Abstract

Introduction: Tracheostomy is the opening of the cervical trachea followed by the placement of a cannula. It is intended to provide a short circuit of the upper airway. The aim of this study is to review the indications for tracheostomy. Materials and methods: This is a retrospective study of 43 tracheotomized patients treated in the otorhinolaryngology department of Gabriel University Hospital. Toure de Bamako for a period of 6 years from January 2017 to August 2024. Results: The work involved 27 men (62.8%) and 16 women (37.2%), with a sex ratio of 1.69. The mean age of the patients was 38.295 years with extremes of 2.67 and 77 years. Laryngeal dyspnoea (n= 28) and dysphonia (n=26) were the main symptoms of consultation. Most tracheostomies were performed as an emergency procedure in 79.1% of cases (n=34), with scheduled tracheostomies performed in 20.9% of cases (n=9). The conditions requiring tracheostomy were dominated by malignant tumours of the larynx and pharynx (26.4%), followed by post-thyroidectomy recurrent paralysis (7.9%), trauma to the larynx (10.5%) and penetrating neck wounds (4.7%). Laryngeal papillomatosis was the main indication in children (4 children). The technique used was classical surgical tracheotomy, often performed under general anaesthesia (53.5%) and under local anaesthesia in emergency cases (46.5%). The skin incision was transverse in most cases (n=38) (88.4%) and vertical in 11.6% (n=5). Complications related to tracheostomy were diverse, generally benign, and occurred in 1% of cases. Mortality occurred in 3 of our patients whose cannulas were still in place, a rate of 8.1% (n=3). Conclusion: Whatever the indication, tracheostomy is a life-saving procedure whose usefulness and effectiveness are certain. Mastery of the technique, rigorous monitoring and postoperative care are the main conditions for minimising the risk of complications.

Published in International Journal of Otorhinolaryngology (Volume 12, Issue 1)
DOI 10.11648/j.ijo.20261201.14
Page(s) 20-24
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2026. Published by Science Publishing Group

Keywords

Neck, Trachea, Risk Factors, Tracheotomy, Skin, ENT, Treatment, Indication

References
[1] Bouraïma, F. A., Ametonou, C. B., Agbokponto, A., Hounlelou, V. and Flatin, M.-C. (2026) Tracheotomy in an African Hospital Setting: A 10 Year Retrospective Study in Parakou, Benin. International Journal of Otolaryngology and Head & Neck Surgery, 15, 42-54.
[2] Laccourreye, L. and Dubin, J. (2001) Tracheotomy. Encyclopédie Médico-Chirurgicale (Scientific and Medical Editions SAS, Paris, all rights reserved), Surgical techniques - head and neck, 46-430., 46-430.
[3] Oppert M, Jungehülsing M, Nibbe L. Tracheotomy: Indication and implementation. Med Klin Intensivmed Notfmed. 2024; 119(8): 694-702. German.
[4] Itiere, O., Otiobanda, G., & Ondzotto, G. (2014). La trachéotomie au CHU de Brazzaville. Revue Africaine de Chirurgie et Spécialités, 7(2), 11–14.
[5] Funamura JL, Durbin-Johnson B, Tollefson TT, Harrison J, Senders CW. Pediatric tracheotomy: indications and decannula-tion outcomes. Laryngoscope. 2014 Aug; 124(8): 1952-8.
[6] K Ouoba, M Dao, et al. ENT cancers and CCF in Burkina Faso. Médecine d'Afrique noire 1997.44 (8/9) 452-4.
[7] O Maliki, H Nouri et al. Laryngeal papillomatosis in children: epidemiological, therapeutic and evolutionary aspects at (Proposing 21 cases). Journal of pediatrics and child care; 2012; 25: 237-241
[8] Fatogoma Issa Kone, Kadidiatou Singare, Kadiatou Traore, Oumou Coulibaly, Naouma Cisse, et al. (2020). Epidemiological, Clinical and Therapeutic Aspects of Laryngeal Papillomatosis in Mali. International Journal of Otorhinolaryngology, 6(1), 1-5.
[9] Ndour N, Maiga S, Houra A, Deguenonvo REA, Ndiaye C, Pilor N, Mbaye A, Sall AC, Diouf MS, Ndiaye IC. Papillomatose laryngée chez l’adulte: évaluation pendant dix ans au service ORL de l’Hôpital universitaire national de Fann (Dakar, Sénégal). Int J Otolaryngol. 3 août 2020; 2782396.
[10] Trabelsi S, Hachicha, A, Beltaief, N, Charfeddine, A, Tababi, S, Zanine, R, Minif, E, Sahtout, S, & Besbes, G. (2011). Les traumatismes externes du larynx. Journal Tunisien d’ORL et de chirurgie cervico-faciale, 24(1).
[11] H Ghorbal, C Abidw et al. External trauma of the larynx. J. TUN ORL 2013, 13: 16-9.
[12] Comer BT, Gal TJ. Recognition and management of the spectrum of acute laryngeal trauma. J Emerg Med. 2012 Nov; 43(5): e289-93.
[13] Schaefer SD, Brown OE. Selective application of CT in the management of laryngeal trauma. Laryngoscope. 1983 Nov; 93(11 Pt 1): 1473-5.
[14] Kone F I, and Mohamed A K. Post-Thyroidectomy Laryngeal Diplegia in Mali: What Therapeutic Challenge? Exp Rhinol Otolaryngol. 1(2). ERO. 000508. 2017.
Cite This Article
  • APA Style

    Siaka, S., Issa, K. F., Naouma, C., Kenne, M., Ibrahim, D., et al. (2026). Indication of Tracheotomy in the ENT department of the Gabriel Toure University Hospital. International Journal of Otorhinolaryngology, 12(1), 20-24. https://doi.org/10.11648/j.ijo.20261201.14

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    ACS Style

    Siaka, S.; Issa, K. F.; Naouma, C.; Kenne, M.; Ibrahim, D., et al. Indication of Tracheotomy in the ENT department of the Gabriel Toure University Hospital. Int. J. Otorhinolaryngol. 2026, 12(1), 20-24. doi: 10.11648/j.ijo.20261201.14

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    AMA Style

    Siaka S, Issa KF, Naouma C, Kenne M, Ibrahim D, et al. Indication of Tracheotomy in the ENT department of the Gabriel Toure University Hospital. Int J Otorhinolaryngol. 2026;12(1):20-24. doi: 10.11648/j.ijo.20261201.14

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  • @article{10.11648/j.ijo.20261201.14,
      author = {Soumaoro Siaka and Kone Fatogoma Issa and Cisse Naouma and Maurinne Kenne and Dicko Ibrahim and Diarra Kassim and Konate N’faly and Ouane Aissata and Coulibaly Assitan Kole and Doumbia Salimou and Konate Oumar and Bah Famagan and Traore Youssouf Traore and Boubacary Guindo and Singare Kadidiatou and Keita Mohamed Amadou},
      title = {Indication of Tracheotomy in the ENT department of the Gabriel Toure University Hospital},
      journal = {International Journal of Otorhinolaryngology},
      volume = {12},
      number = {1},
      pages = {20-24},
      doi = {10.11648/j.ijo.20261201.14},
      url = {https://doi.org/10.11648/j.ijo.20261201.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20261201.14},
      abstract = {Introduction: Tracheostomy is the opening of the cervical trachea followed by the placement of a cannula. It is intended to provide a short circuit of the upper airway. The aim of this study is to review the indications for tracheostomy. Materials and methods: This is a retrospective study of 43 tracheotomized patients treated in the otorhinolaryngology department of Gabriel University Hospital. Toure de Bamako for a period of 6 years from January 2017 to August 2024. Results: The work involved 27 men (62.8%) and 16 women (37.2%), with a sex ratio of 1.69. The mean age of the patients was 38.295 years with extremes of 2.67 and 77 years. Laryngeal dyspnoea (n= 28) and dysphonia (n=26) were the main symptoms of consultation. Most tracheostomies were performed as an emergency procedure in 79.1% of cases (n=34), with scheduled tracheostomies performed in 20.9% of cases (n=9). The conditions requiring tracheostomy were dominated by malignant tumours of the larynx and pharynx (26.4%), followed by post-thyroidectomy recurrent paralysis (7.9%), trauma to the larynx (10.5%) and penetrating neck wounds (4.7%). Laryngeal papillomatosis was the main indication in children (4 children). The technique used was classical surgical tracheotomy, often performed under general anaesthesia (53.5%) and under local anaesthesia in emergency cases (46.5%). The skin incision was transverse in most cases (n=38) (88.4%) and vertical in 11.6% (n=5). Complications related to tracheostomy were diverse, generally benign, and occurred in 1% of cases. Mortality occurred in 3 of our patients whose cannulas were still in place, a rate of 8.1% (n=3). Conclusion: Whatever the indication, tracheostomy is a life-saving procedure whose usefulness and effectiveness are certain. Mastery of the technique, rigorous monitoring and postoperative care are the main conditions for minimising the risk of complications.},
     year = {2026}
    }
    

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  • TY  - JOUR
    T1  - Indication of Tracheotomy in the ENT department of the Gabriel Toure University Hospital
    AU  - Soumaoro Siaka
    AU  - Kone Fatogoma Issa
    AU  - Cisse Naouma
    AU  - Maurinne Kenne
    AU  - Dicko Ibrahim
    AU  - Diarra Kassim
    AU  - Konate N’faly
    AU  - Ouane Aissata
    AU  - Coulibaly Assitan Kole
    AU  - Doumbia Salimou
    AU  - Konate Oumar
    AU  - Bah Famagan
    AU  - Traore Youssouf Traore
    AU  - Boubacary Guindo
    AU  - Singare Kadidiatou
    AU  - Keita Mohamed Amadou
    Y1  - 2026/04/28
    PY  - 2026
    N1  - https://doi.org/10.11648/j.ijo.20261201.14
    DO  - 10.11648/j.ijo.20261201.14
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 20
    EP  - 24
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20261201.14
    AB  - Introduction: Tracheostomy is the opening of the cervical trachea followed by the placement of a cannula. It is intended to provide a short circuit of the upper airway. The aim of this study is to review the indications for tracheostomy. Materials and methods: This is a retrospective study of 43 tracheotomized patients treated in the otorhinolaryngology department of Gabriel University Hospital. Toure de Bamako for a period of 6 years from January 2017 to August 2024. Results: The work involved 27 men (62.8%) and 16 women (37.2%), with a sex ratio of 1.69. The mean age of the patients was 38.295 years with extremes of 2.67 and 77 years. Laryngeal dyspnoea (n= 28) and dysphonia (n=26) were the main symptoms of consultation. Most tracheostomies were performed as an emergency procedure in 79.1% of cases (n=34), with scheduled tracheostomies performed in 20.9% of cases (n=9). The conditions requiring tracheostomy were dominated by malignant tumours of the larynx and pharynx (26.4%), followed by post-thyroidectomy recurrent paralysis (7.9%), trauma to the larynx (10.5%) and penetrating neck wounds (4.7%). Laryngeal papillomatosis was the main indication in children (4 children). The technique used was classical surgical tracheotomy, often performed under general anaesthesia (53.5%) and under local anaesthesia in emergency cases (46.5%). The skin incision was transverse in most cases (n=38) (88.4%) and vertical in 11.6% (n=5). Complications related to tracheostomy were diverse, generally benign, and occurred in 1% of cases. Mortality occurred in 3 of our patients whose cannulas were still in place, a rate of 8.1% (n=3). Conclusion: Whatever the indication, tracheostomy is a life-saving procedure whose usefulness and effectiveness are certain. Mastery of the technique, rigorous monitoring and postoperative care are the main conditions for minimising the risk of complications.
    VL  - 12
    IS  - 1
    ER  - 

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Author Information
  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

  • Faculty of Medicine, University Hospital Gabriel Toure, Bamako, Mali

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