Abstract
Objective: To compare suprastomal granulation tissue (SSGT) removal using the microdebrider with other common methods of excision. Methods: Retrospective review (n= 21) of SSGT excision at a tertiary care pediatric hospital (2004-10). Outcome measures included intraoperative blood loss, operative time, decannulation rates, and complications. Results: 10 children underwent excision of SSGT via powered SSGT debridement and 8 were decannulated (80% success rate). Of the other 11 patients who had manually non-powered techniques (kerrison rongeur, laryngeal microinstruments, or optical forceps), 7 were decannulated (63% success rate). Operative time was on average shorter than all other procedures, but not significantly (p= 0.101). There was no significant difference in blood loss when powered debridement was compared to other techniques (p= 0.872). There were no significant complications encountered in our patients who received SSGT powered debridement. Conclusions: Endoscopic powered SSGT debridement is a simple and useful tool in the process of pediatric tracheotomy decannulation with superior decannulation rate, shorter operative time, and comparable blood loss to other techniques.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1558-1561 |
| Number of pages | 4 |
| Journal | International journal of pediatric otorhinolaryngology |
| Volume | 75 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 2011 |
Keywords
- Decannulation
- Microdebrider
- Suprastomal granulation tissue
- Tracheal granuloma
- Tracheotomy
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Otorhinolaryngology