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.
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Pediatric Otorhinolaryngology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
