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Therefore, in many centres short-term endotracheal intubation has replaced tracheostomy as the method of choice for relieving the obstruction.<\/jats:p><jats:p>We have tried both methods in 15 children over a period of three years under conditions of limited material and human resources. Tracheostomy was found to be safer. It was concluded that it is better to have a live healthy child with a small scar in the neck than a dead child without a scar.<\/jats:p>","DOI":"10.1017\/s0022215100100969","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:23:29Z","timestamp":1196418209000},"page":"1273-1278","source":"Crossref","is-referenced-by-count":2,"title":["A comparison of endotracheal intubation and tracheostomy in the management of acute epiglottitis in children in the tropics"],"prefix":"10.1017","volume":"100","author":[{"given":"Olujimi","family":"Odetoyinbo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100100969_ref018","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1542\/peds.53.5.674","article-title":"Nasotracheal intubation in the treatment of acute epiglottitis","volume":"53","author":"Milko","year":"1974","journal-title":"Pediatrics"},{"key":"S0022215100100969_ref014","doi-asserted-by":"publisher","DOI":"10.1007\/BF03005063"},{"key":"S0022215100100969_ref011","first-page":"873","article-title":"Epiglottitis and croup","volume":"12","author":"Dumbar","year":"1961","journal-title":"Journal of the Canadian Association of Radiologists"},{"key":"S0022215100100969_ref010","first-page":"2512","article-title":"Nasotracheal intubation in infants and children","volume":"72","author":"Downey","year":"1972","journal-title":"New York State Journal of Medicine"},{"key":"S0022215100100969_ref026","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1973.00780010385003"},{"key":"S0022215100100969_ref016","first-page":"932","article-title":"Acute epiglottitis and supraglottitis","volume":"73","author":"Jones","year":"1958","journal-title":"Journal of Laryngology and Otology"},{"key":"S0022215100100969_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)34073-1"},{"key":"S0022215100100969_ref004","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196708000-00011"},{"key":"S0022215100100969_ref017","first-page":"732","article-title":"Acute epiglottitis","volume":"215","author":"Jones","year":"1975","journal-title":"Practitioner"},{"key":"S0022215100100969_ref007","first-page":"334","article-title":"Acute epiglottitis in an adult treated by nasotracheal intubation","volume":"129","author":"Bryne","year":"1977","journal-title":"American Journal of Diseases of Childhood"},{"key":"S0022215100100969_ref003","first-page":"334","article-title":"Epiglottitis by nasotracheal intubation","volume":"129","author":"Battaglia","year":"1975","journal-title":"American Journal of Diseases of Childhood"},{"key":"S0022215100100969_ref012","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(72)80569-9"},{"key":"S0022215100100969_ref025","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1097\/00000542-197703000-00010","article-title":"Comparison of nasotracheal intubation and tracheostomy management of acute epiglottitis","volume":"46","author":"Tae","year":"1977","journal-title":"Anaesthesiology"},{"key":"S0022215100100969_ref005","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195805012581802"},{"key":"S0022215100100969_ref008","first-page":"136","article-title":"Safe alternative to tracheostomy in acute epiglottitis","volume":"129","author":"Coker","year":"1975","journal-title":"American Journal of Diseases of Childhood"},{"key":"S0022215100100969_ref001","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5791.40"},{"key":"S0022215100100969_ref021","doi-asserted-by":"publisher","DOI":"10.1148\/80.5.798"},{"key":"S0022215100100969_ref006","doi-asserted-by":"publisher","DOI":"10.1007\/BF03006807"},{"key":"S0022215100100969_ref013","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1979.tb01470.x"},{"key":"S0022215100100969_ref002","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/44.8.835"},{"key":"S0022215100100969_ref022","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100073710"},{"key":"S0022215100100969_ref023","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(72)80460-8"},{"key":"S0022215100100969_ref024","first-page":"212","article-title":"Prolonged nasotracheal intubation or tracheostomy in acute laryngobronchitis and epiglottitis","volume":"11","author":"Shann","year":"1975","journal-title":"Australian Paediatric Journal"},{"key":"S0022215100100969_ref019","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1542\/peds.58.4.526","article-title":"Epiglottitis: incidence of extra-glottic infections","volume":"58","author":"Molteni","year":"1976","journal-title":"Pediatrics"},{"key":"S0022215100100969_ref015","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1950.02910490007003"},{"key":"S0022215100100969_ref020","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(79)80244-9"}],"container-title":["The Journal of Laryngology &amp; 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