Pediatric airway reconstruction at Great Ormond Street: a ten-year review. III. Decannulation and suprastomal collapse.
One hundred eight consecutive patients with pediatric laryngotracheal stenosis requiring airway reconstruction over a 10-year period were reviewed. Ninety (83%) of the patients were decannulated. Over three quarters of the decannulations took place within 20 months of primary reconstruction. More than half of the patients (47, or 52%) had persistent tracheocutaneous fistulae after decannulation, which required elective closure. The likelihood of a persisting tracheocutaneous fistula is directly related to duration of cannulation.
Ochi
J W
JW
Department of Pediatric Otolaryngology, Hospital for Sick Children, London England.
Bailey
C M
CM
Evans
J N
JN
D001999:Bronchoscopy; D002648:Child; D005402:Fistula / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal; D007828:Laryngoscopy; D007829:Laryngostenosis / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D014133:Tracheal Diseases / Q000209:etiology; D014135:Tracheal Stenosis / Q000601:surgery*; D014139:Tracheostomy