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[Review of surgical treatment of suprastomal collapse in tracheostomised children].
HNO
November 2024
Klinik für Hals‑, Nasen‑, Ohrenkrankheiten, Plastische Operationen, Klinikum Stuttgart - Olgahospital, Stuttgart, Deutschland.
Background: Suprastomal collapse (SSC) is considered a major late complication of paediatric tracheostomy and can be responsible for decannulation failure in up to 20% of tracheostomised children. Depending on the severity of SSC, surgery may be required. Various strategies and techniques are available, of which the treating with airway team should be aware.
View Article and Find Full Text PDFCoblation-assisted excision of suprastomal granulation tissue.
J Laryngol Otol
October 2022
Sackler Faculty of Medicine, Tel Aviv University, Israel.
Background: Suprastomal granulation tissue is a common complication of long-term tracheostomy. It may be associated with bleeding, aphonia, airway obstruction and delayed decannulation.
Methods: This study describes the experience of a tertiary paediatric medical centre with Coblation-assisted suprastomal granulation tissue excision.
Pediatric tracheostomy surveillance.
Pediatr Pulmonol
September 2021
Division of Pediatric Otolaryngology, Children's National Medical Center, Washington, District of Columbia, USA.
We report an unusual case of a 14-month-old ex-28 week, ventilator-dependent male with a history of bronchopulmonary dysplasia and tracheostomy at 2 months of age. Lost to follow-up, at age 9 months, he presented to the emergency department with worsening respiratory distress. The patient was taken to the operating room at which time direct visualization of the airway demonstrated a mass filling the entire glottic inlet without supraglottic or pharyngeal mucosal attachments.
View Article and Find Full Text PDFTracheal squamous metaplasia in children with endotracheal intubation or tracheostomy.
Int J Pediatr Otorhinolaryngol
January 2021
Developmental Biology and Regenerative Medicine Program, Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, CA, USA; Division of Otolaryngology, Children's Hospital Los Angeles, Los Angeles, CA, USA; Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:
Objectives: In the present study, tracheal epithelial biopsy samples between intubated children, children with tracheostomy and a control group of non-intubated children are compared with respect to their degree of normal differentiation versus the presence of squamous metaplasia.
Methods: Tracheal epithelial biopsies were obtained from intubated neonates undergoing tracheostomy, children with tracheostomy undergoing suprastomal granuloma excision and non-intubated control children undergoing laryngoscopy and bronchoscopy. Paraffin tissue blocks were sectioned at 5 μm thickness and subjected to both routine Hematoxylin and Eosin (H&E) staining and immunostained with the relevant antibodies for markers of epithelial differentiation including B-tubulin, CC10, Muc5ac, P63, keratin5 and keratin14.
Surgical options in suprastomal collapse-induced severe airway obstruction.
Eur Arch Otorhinolaryngol
December 2020
Lausanne University Hospital, Lausanne, Switzerland.
Purpose: A single institutions experience with various surgical options in the treatment of severe suprastomal collapse (SSC).
Methods: The study included 18 tracheostomized children with SSC treated between January 2012 and December 2018. Data included: patient demography, initial airway lesions, comorbidities, indication and age at tracheostomy, prior airway surgery, stomal demography, type of surgery, postoperative management, complications and treatment outcomes.
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