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Int. J. Pediatr. Otorhinolaryngol. · Nov 1994
ReviewFactors that influence successful decannulation after surgery for laryngo-tracheal stenosis in children.
- C A Prescott.
- Department of Otolaryngology, University of Cape Town, South Africa.
- Int. J. Pediatr. Otorhinolaryngol. 1994 Nov 1;30(3):183-8.
AbstractThe process to decannulation requires attention to details from the time of initial tracheostomy, through the pre- and peri-operative period up until the decannulation event. Important points to consider during this process are: a formal tracheostomy rather than a tracheotomy; other potential sites of obstruction than the laryngeal stenosis; gastroesophageal reflux; prevention and control of infection and the use of prophylactic antibiotics; method and type of suture material; stenting; movement and method of feeding. Decannulation itself requires attention to removal of granulation tissue and control of tracheomalacia and tracheostenosis.
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