OBJECTIVE To examine the indications, risks, and surgical outcomes after tracheal reconstruction using cadaveric homograft in children. DESIGN Retrospective medical record review. SETTING Tertiary referral center. PATIENTS Ten children (4 boys and 6 girls). INTERVENTION Tracheal reconstruction using cadaveric homograft. MAIN OUTCOME MEASURES Cause of stenosis, number and type of proce...

In order to investigate the functional effects of mitral valve surgery, echocardiograms showing left ventricular dimension were recorded and digitised in 14 normal subjects and 129 patients after mitral valve surgery. Measurements were made of peak rate of increase of dimension (dD/dt) and duration of rapid filling, studies on left ventriculograms in 36 patients having shown close correlation b...

BACKGROUND Tracheostomy decreases airway resistance and work of breathing. No comprehensive data are available on respiratory mechanics after tracheostomy decannulation. We evaluated respiratory mechanics after decannulation. METHODS Twenty-five patients with tracheostomy were included. Measurement of arterial blood gases, air-flow, and esophageal pressure during spontaneous breathing were ev...

Tracheostomy in the neurosurgical setting is an important tool for airway maintenance, especially in Cerebellopontine angle tumour patients. A retrospective study was conducted at the Neurosurgical centre of a tertiary care institute for analyzing the factors dictating early or late tracheostomy and its consequent early or late decannulation. 170 records were retrieved of which 15.8% underwent ...

OBJECTIVE To investigate the long-term outcomes of supracricoid partial laryngectomy with cricohyoidoepiglottopexy (CHEP) and its modified version, in which we reserve the poster inferior borders of both thyroid cartilage laminas to protect swallowing function. METHODS This retrospective survival analysis was performed in 86 patients, wherein 46 undergoing CHEP and 40 undergoing modified CHEP...

OBJECTIVES/HYPOTHESIS The objective of this study was to determine if there are differences in decannulation rates and duration of cannulation between pediatric patients undergoing tracheotomy for different indications. STUDY DESIGN Retrospective chart review. METHODS Medical records for pediatric patients (age 0-18 years) undergoing tracheotomy between January 1, 2003, and May 31, 2012, we...

Critically ill patients with a tracheostomy who are recovering from respiratory failure eventually require evaluation for airway decannulation. Although expert recommendations guide decisions for managing decannulation, few if any investigative data exist to inform evidence-based care. Consequently, practice variation limits the effectiveness of weaning from tracheostomy. In an investigation re...

Commonly encountered difficulties during decannulation are tube dependency, bleeding, and mechanical problems with cuff, aspiration, pulmonary complications, tracheomalacia, scarring of the tracheostomy wound, inversion of wound margin in skin, tracheal stenosis and also migration of granulation tissue inside the trachea through the tracheostomy wound. Patients with traumatic quadriplegia follo...

Objective: To evaluate functional and oncological results of patients who were treated with frontal anterior laryngectomy with epiglottic reconstruction (Tucker’s operation). Material and Methods: From September 1985 to November 2009, 58 patients whose early glottic carcinomas were operated on with Tucker’s operation. The time of decannulation, nasogastric tube removal, hospitalization and onco...

Tracheotomy is one of the most frequent surgical procedures in critically ill patients. Up to 10% of all individuals who require mechanical ventilation for at least three days will need a tracheotomy for prolonged ventilation or for adequate management of the airway. However, despite the widespread use of the technique and the abundant literature on the subject, few references to decannulation ...