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Автор Al-Saati, A.
Автор Morrison, G. A. J.
Автор Clary, R. A.
Автор Bailey, C. M.
Дата выпуска 1993
dc.description Over a five-year period during which 99 children underwent successful ward decannulation, 14 other children were deemed unsuitable and underwent surgical decannulation. The technique of surgical decannulation involves excision of the tracheostomy tract with any granuloma and splinting of the anterior tracheal wall by the use of an indwelling nasotracheal tube for 48 hours post-operatively. It is indicated in carefully selected patients whose tracheostomies are complicated by large suprastomal granulomas, anterior tracheal wall collapse or previous anterior rib graft collapse into the airway. Nine of the 14 decannulations were successful. Success is dependent upon accurate prior endoscopic assessment and satisfactory previous reconstruction surgery in cases of subglottic stenosis. The five failures (4.42 per cent of all decannulations) represent some of the most demanding airway problems encountered.
Формат application.pdf
Издатель Cambridge University Press
Копирайт Copyright © JLO (1984) Limited 1993
Тема Tracheostomy
Тема decannulation
Тема Children
Название Surgical decannulation of children with tracheostomy
Тип research-article
DOI 10.1017/S0022215100122674
Electronic ISSN 1748-5460
Print ISSN 0022-2151
Журнал The Journal of Laryngology & Otology
Том 107
Первая страница 217
Последняя страница 221
Аффилиация Al-Saati A.; The Hospital for Sick Children
Аффилиация Morrison G. A. J.; The Hospital for Sick Children
Аффилиация Clary R. A.; The Hospital for Sick Children
Аффилиация Bailey C. M.; The Hospital for Sick Children
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