Polysomnography in the evaluation of readiness for decannulation in children

David E. Tunkel*, Susanna A. McColley, Fuad M. Baroody, Carole L. Marcus, John L. Carroll, Gerald M. Loughlin

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

Objective: To determine whether polysomnography is useful in the evaluation of readiness for decannulation in children with long-term tracheotomy. Design: Descriptive, retrospective case series. Setting: Tertiary care pediatric center, pediatric sleep disorders laboratory, and pediatric otolaryngology referral center. Patients: Children (younger than 18 years) with tracheotomy undergoing polysomnography to assess their dependence on tracheotomy. Intervention: Polysomnography in all patients; endoscopy and decannulation in those judged clinically ready. Main Outcome Measures: Success of decannulation. Results: Thirteen of 16 patients with favorable polysomnographic data were successfully decannulated. Conclusion: Polysomnography is a useful supplement to airway endoscopy in the evaluation of readiness for decannulation in children with long-term tracheotomy and dynamic airway issues.

Original languageEnglish (US)
Pages (from-to)721-724
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume122
Issue number7
DOIs
StatePublished - Jul 1996

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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