title: [Cause and treatment in difficult decannulation of tracheotomic children].
abstract: OBJECTIVE
  To explore the cause of difficult decannulation in tracheotomic children and increase the rate of successful decannulation.
  
  
  METHODS
  Clinical data of 69 cases of difficult decannulation in tracheotomic children were analyzed retrospectively.
  
  
  RESULTS
  42(60.9%) cases were not cured for their primary diseases were not cured in a short time, 14 (20.3%) cases were in improper procedure. The location of tracheotomy was too high in 4 (5.8%) cases and tracheal stricture in 4(5.8%). In 5(7.2%) cases discharge blocked in airway. After treatment decannulation was finished in 49 cases, among them, 15 cases remain tracheo-skin fistula. The other 18 cases failed to decannulation, and 2 cases died of tubal accident.
  
  
  CONCLUSIONS
  The main reason of difficult decannulation in tracheotomic children is the primary disease which were not fully recovered. The second reason is improper procedure of decannulation. Difficulty in decannulation has nothing to do with the age of children.
authors.affiliation: Department of Otorhinolaryngology, Beijing Children's Hospital, Capital University of Medical Science, Beijing 100045.
authors.forename: Liyan
authors.initials: L
authors.lastname: Jia
authors.forename: Suying
authors.initials: S
authors.lastname: Zhang
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007818:Laryngeal Diseases / Q000628:therapy; D008297:Male; D012189:Retrospective Studies; D014140:Tracheotomy / Q000009:adverse effects*