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Tracheostomy Decannulation

Clarence T. Sasaki, MD; Paul T. Gaudet, MD; Alter Peerless, MD
Am J Dis Child. 1978;132(3):266-269. doi:10.1001/archpedi.1978.02120280050011.
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• Tracheostomy in pediatric patients involves major morbidity that is often reflected in prolonged decannulation difficulty. A review of 123 consecutive pediatric tracheostomies shows that 44 patients experienced such difficulties. Among those patients suffering decannulation delay, subglottic stenosis had developed in 36%, tracheal granuloma in 25%, fused cords in 11%, and temporary laryngeal abductor failure in 25%. Although the overall incidence of decannulation failure is high, more than 60% of those patients affected respond to treatment when diagnosis is prompt and accurate. In this regard, the laryngologist may play a central role in the management of the pediatric decannulation process.

(Am J Dis Child 132:266-269, 1978)


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