{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T17:49:51Z","timestamp":1790704191045,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3304,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2007,5]]},"abstract":"<jats:sec><jats:title>BACKGROUND\/OBJECTIVE<\/jats:title><jats:p>Awake tracheotomy is performed for patients with impending airway obstruction. Few studies to date have addressed the issues surrounding awake tracheotomy. We sought to review the indications, complications, and outcome of awake tracheotomy for urgent airway control.<\/jats:p><\/jats:sec><jats:sec><jats:title>MATERIALS AND METHODS<\/jats:title><jats:p>We conducted a retrospective review of patients who underwent awake tracheotomy over a 4\u2010year period from 2001 to 2004 at an urban tertiary medical center. Data were obtained from inpatient records and operative charts.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>We obtained data on 54\u00a0men and 19 women, with a mean age of 61 years. The majority of patients presented with hoarseness, dyspnea, and stridor. Twenty patients had obstruction from head and neck cancers. Nonmalignant causes included deep neck infections (n = 18), bilateral vocal cord paralysis (n = 17), trauma (n = 9), and laryngeal edema (n = 6). Other causes include laryngeal cyst, subglottic stenosis, and vocal cord granuloma. Six (8.2%) patients experienced complications, including postoperative hemorrhage, pneumothorax, and chest and wound infections. There were no long\u2010term complications or deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Awake tracheotomy is efficacious and safe and has a low complication rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>SIGNIFICANCE<\/jats:title><jats:p>Awake tracheotomy should be performed for impending airway obstruction and in a timely manner before complete obstruction occurs.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2006.12.012","type":"journal-article","created":{"date-parts":[[2007,5,1]],"date-time":"2007-05-01T07:10:45Z","timestamp":1178003445000},"page":"838-842","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Urgent Awake Tracheotomy for Impending Airway Obstruction"],"prefix":"10.1002","volume":"136","author":[{"given":"Heng\u2010Wai","family":"Yuen","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Tan Tock Seng Hospital Jalan Tan Tock Seng Singapore Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew Loy","family":"Heng\u2010Chian","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Tan Tock Seng Hospital Jalan Tan Tock Seng Singapore Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirish","family":"Johari","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Tan Tock Seng Hospital Jalan Tan Tock Seng Singapore Republic of Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200312000-00012"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000180176.66968.0f"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)42235-8"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-5231(21)00805-4"},{"key":"e_1_2_6_6_1","first-page":"218","article-title":"Complications of emergency and elective tracheostomy: A retrospective study of 150 consecutive cases","volume":"72","author":"Waldron J","year":"1990","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199911000-00008"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2002.21091"},{"key":"e_1_2_6_9_1","first-page":"45","volume-title":"Tracheostomy. 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