Surveillance direct laryngoscopy and bronchoscopy in children with tracheostomies

The Laryngoscope
Amy RichterJulina Ongkasuwan

Abstract

To determine utility of surveillance direct laryngoscopy and bronchoscopy (DLB) in children with chronic tracheostomies by examining the frequency of operative intervention in children undergoing an annual DLB. Retrospective medical record review and analysis of operative findings and interventions. A retrospective chart review was conducted of all children with tracheostomies who underwent surveillance DLB between 2003 and 2012 at a tertiary children's hospital. Charts were reviewed for demographics, indication for tracheotomy, symptoms prior to DLB, dates of DLB, and operative findings and interventions. A total of 489 patients underwent 1,094 DLBs. Two hundred fifty-three DLBs (23%) were accompanied by preprocedural symptoms including bleeding; increased secretions; infection; and changes in ventilation requirement, swallow, or voice. Six hundred nineteen procedures (58%) required 817 interventions. Common interventions performed included debridement of granulation tissue (41%), tracheostomy tube exchange (27%), and subglottic dilation (10%). The presence of preprocedural symptoms and indication for tracheostomy did not predict need for intervention during DLB (P > .05). In pediatric tracheostomy patients undergoing surveill...Continue Reading

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Citations

Feb 18, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Lyndy J WilcoxCristina M Baldassari
Jan 22, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Matthew M SmithCatherine K Hart
Mar 25, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Thida OngKaalan E Johnson
Sep 23, 2020·Orphanet Journal of Rare Diseases·Ha TrangMiriam Katz-Salamon
Jul 28, 2021·The Laryngoscope·Swathi AppachiElton M Lambert

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