Should Granulomas Be Excised in Children With Long-term Tracheotomy?

Practice Patterns After Tracheotomy in Infants Younger Than 2 Years

“…In addition, in a tertiary referral center such as ours, many patients are either lost to follow-up or choose to follow up closer to home. Our data corroborate the findings of Rosenfeld and Stool, 1 who showed that removal of asymptomatic granulation does not change the natural course of the phenomenon. However, we are unable to make any definitive statements regarding the utility of surveillance endoscopy based on our data.…”

“…It is interesting to note, however, in the nonintervention group, only a third of the patients had SSG at subsequent evaluation. This supports the findings of Rosenfeld and Stool, 1 who determined in a prospective study of 50 patients that management of granuloma by either excision or observation did not alter the probability of detecting a new or persistent granuloma at subsequent bronchoscopy.…”

A single-center 6-year experience with two types of pediatric tracheostomy

“…Several types of operative techniques, including different tracheal incisions such as vertical incision [2,4,6,8,[11][12][13] and creation of inferiorly [3,4,10,14,15] or superiorly [16] based tracheal flaps, in children have been reported. Vertical tracheal incision [17][18][19] and creation of inferiorly [17,18,20] or superiorly [19] based tracheal flaps in animal models have also been studied.…”

Tracheal obstruction caused by minitracheotomy

“…Unlike tracheal obstruction due to tracheotomy [2], the obstruction occurred not after decannulation but during natural breathing. Tachypnea, inspiratory stridor and desaturation appeared suddenly and we could resolve them by opening the minitracheotomy tube and supplying oxygen through it, though we did not find the accurate cause until bronchoscopy was performed.…”