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 th...

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Bibliographic Details
Published inAnnals of otology, rhinology & laryngology Vol. 101; no. 8; p. 656
Main Authors Ochi, J W, Bailey, C M, Evans, J N
Format Journal Article
LanguageEnglish
Published United States 01.08.1992
Subjects
Bronchoscopy
Child
Fistula - etiology
Follow-Up Studies
Humans
Intubation, Intratracheal
Laryngoscopy
Laryngostenosis - surgery
Postoperative Complications - prevention & control
Tracheal Diseases - etiology
Tracheal Stenosis - surgery
Tracheostomy
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Summary: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.
ISSN:0003-4894
DOI:10.1177/000348949210100805