Powered debridement of suprastomal granulation tissue to facilitate pediatric tracheotomy decannulation

Cynthia Chen, John P. Bent, Sanjay R. Parikh

Research output: Contribution to journalArticle

5 Scopus citations

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 languageEnglish (US)
Pages (from-to)1558-1561
Number of pages4
JournalInternational journal of pediatric otorhinolaryngology
Volume75
Issue number12
DOIs
StatePublished - Dec 1 2011

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Keywords

  • Decannulation
  • Microdebrider
  • Suprastomal granulation tissue
  • Tracheal granuloma
  • Tracheotomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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