Purpose: Tracheotomy is one of the oldest surgical procedures known. There are multiple indications for tracheostomies. Operative complications have ranged between 5-40%. This manuscript describes our experience with 171 open tracheostomies at a major academic medical center. Methods: A retrospective review of all patients' records who underwent an open tracheostomy by the Division of OMS between July 1, 2007 to December 31, 2010 was performed. Specific information including indication for procedure, age of patient, type and size of tracheostomy tube, and any post-operative complications were compiled. Based on the data gathered, statistical analysis was performed to establish incidence of complications and its correlation to the specific indication for the tracheostomy. Trends and outcome assessments were then determined. Results: Median age for tracheostomy in the group was 36 (17-89). Majority of tracheostomies were performed in conjunction with head and neck oncologic procedures (51%). Complication rate was 4.1% (7 patients out of 171). Conclusion: Open tracheostomy is an extremely useful surgical procedure. If performed appropriately, it is associated with a low complication rate.
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