Cynthia Chen1, John P Bent, Sanjay R Parikh. 1. Dept. of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY, United States. Cchen@montefiore.org
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.
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.
Authors: Joshua B Gafford; Scott Webster; Neal Dillon; Evan Blum; Richard Hendrick; Fabien Maldonado; Erin A Gillaspie; Otis B Rickman; S Duke Herrell; Robert J Webster Journal: Ann Biomed Eng Date: 2019-07-24 Impact factor: 3.934
Authors: C Scott Brown; Marisa A Ryan; Vaibhav H Ramprasad; Anatoli F Karas; Eileen M Raynor Journal: Int J Pediatr Otorhinolaryngol Date: 2017-03-06 Impact factor: 1.675