Factors that influence successful decannulation after surgery for laryngo-tracheal stenosis in children.
The process to decannulation requires attention to details from the time of initial tracheostomy, through the pre- and peri-operative period up until the decannulation event. Important points to consider during this process are: a formal tracheostomy rather than a tracheotomy; other potential sites of obstruction than the laryngeal stenosis; gastroesophageal reflux; prevention and control of infection and the use of prophylactic antibiotics; method and type of suture material; stenting; movement and method of feeding. Decannulation itself requires attention to removal of granulation tissue and control of tracheomalacia and tracheostenosis.
Prescott
C A
CA
Department of Otolaryngology, University of Cape Town, South Africa.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005764:Gastroesophageal Reflux / Q000517:prevention & control; D006097:Granulation Tissue / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007441:Intubation, Gastrointestinal; D007829:Laryngostenosis / Q000601:surgery*; D009068:Movement; D013203:Staphylococcal Infections / Q000188:drug therapy; D015607:Stents; D014139:Tracheostomy
D000900:Anti-Bacterial Agents