PMID: 9432059Jan 31, 1998Paper

Tracheostomy decannulation in children: approaches and techniques

The Laryngoscope
R F GrayI N Jacobs

Abstract

Various approaches and techniques are used in discontinuing tracheostomy in children. The variability in the use of resources is considerable. The objective of this study was to assess decannulation in children attended in a university-affiliated children's hospital. A retrospective analysis was made of the medical records of patients who had both tracheostomy (n = 177) and decannulation (n = 30) from 1985 to 1994. Tracheostomies, placed at a mean age of 38 months, were discontinued (on the average) 22 months later. Most children underwent airway endoscopy in the operating room in preparation for decannulation. Twenty-four children had downsizing, then capping of the tracheostomy as a functional trial. Six children underwent staged laryngotracheoplasty before decannulation. Two children had decannulation as part of a single-stage laryngotracheoplasty. Attention to at least one comorbid factor (e.g., pulmonary, neurologic, or cardiac disease) was important in the decannulation of each patient in this series. The individualization of tracheostomy decannulation is necessary for children.

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Citations

Oct 21, 2009·Pediatric Surgery International·Sadaf ZiaSohail Awan
Oct 24, 2002·International Journal of Pediatric Otorhinolaryngology·H R Sharp, B E J Hartley
Mar 4, 2000·International Journal of Pediatric Otorhinolaryngology·E WielB Vilette
May 2, 2002·Pediatrics International : Official Journal of the Japan Pediatric Society·Zekeriya IlçeDaver Yeker
Feb 2, 2013·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Hiren MuzumdarRaanan Arens
Mar 13, 2016·International Journal of Pediatric Otorhinolaryngology·Jennifer LeeAlan T Cheng
Oct 19, 2004·International Journal of Pediatric Otorhinolaryngology·David L Mandell, Robert F Yellon
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Apr 12, 2016·Pediatric Pulmonology·A Ioana Cristea, Christopher D Baker
Feb 27, 2016·Pediatric Pulmonology·A Ioana CristeaVeda L Ackerman
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Nov 15, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jason A Meyers, James Sidman
Sep 20, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ron B MitchellAlbert Merati
Jul 1, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Neepa GurbaniNarong Simakajornboon
Feb 18, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nicholas WirtzJames Sidman
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Oct 30, 2013·Nihon Jibiinkoka Gakkai kaiho·Michiko Moriyama
Sep 8, 2017·Pediatric Surgery International·Anil SachdevDhiren Gupta
Dec 21, 2020·International Journal of Pediatric Otorhinolaryngology·Aimee KennedyMichael J Rutter

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