Pediatric suprastomal granuloma: management and treatment

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Akash GuptaMichael J Rutter

Abstract

Suprastomal granulomas (SSG) are a common complication of pediatric tracheotomy. Occasionally excision is indicated for obstructive granulomas. We report on our experience on the management of SSG requiring excision. Study design and setting A retrospective chart review of 68 patients who underwent SSG excision at a tertiary referral pediatric hospital between July 1997 and November 2002. The medical charts were reviewed for excision techniques and outcomes. A total of 106 excisions of SSG were performed on 68 patients. Of the patients, 25 (36.8%) required multiple excisions. Removal techniques included sphenoid punch (34.9%), optical forceps (34.0%), open excision (22.6%), electrocautery (4.7%), and hook and eversion (3.8%). The majority of SSG do not require removal. If excision is indicated, we recommend using optical forceps for soft and friable lesions and the sphenoid punch for fibrous and firm granulomas. For granulomas that have a broad base, are very large, or where endoscopic instrumentation is not possible, we recommend open excision.

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Citations

Dec 23, 2009·The Journal of Laryngology and Otology·S De, C M Bailey
Oct 15, 2011·International Journal of Pediatric Otorhinolaryngology·Cynthia ChenSanjay R Parikh
Sep 9, 2008·Otolaryngologic Clinics of North America·Alessandro de Alarcon, Michael J Rutter
Aug 19, 2011·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·H Ismail-KochI Hore
Nov 18, 2008·International Journal of Pediatric Otorhinolaryngology·Courtney B ShiresJerome W Thompson
Aug 30, 2006·Paediatric Respiratory Reviews·Lesley-Ann Cochrane, C Martin Bailey
Aug 30, 2006·Paediatric Respiratory Reviews·Ernst Eber, Béatrice Oberwaldner
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Aug 10, 2018·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Max S OsborneRogan Corbridge
Jun 21, 2017·The Laryngoscope·Cláudia SchweigerMichael J Rutter
Jun 28, 2017·American Journal of Respiratory and Critical Care Medicine·Sarah K MedrekVenkata Bandi
Sep 9, 2020·International Journal of Pediatric Otorhinolaryngology·Raviv AllonAri DeRowe
Jun 30, 2021·Pediatric Pulmonology·James A LeonardAlexandra Espinel

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