Powered instrumentation in the treatment of tracheal granulation tissue for decannulation.

Abstract

OBJECTIVE:

To evaluate the outcomes of powered instrumentation tracheal surgery (PITS) in patients with tracheal granulation tissue following tracheostomy that caused or exacerbated airway obstruction and impeded decannulation.

STUDY DESIGN:

Retrospective case review.

METHODS:

Sixteen patients that accepted PITS for decannulation from tracheal granulation tissue were reviewed. The surgical procedure was performed with the assistance telescope connected to a television monitoring system. The success of PITS was defined as a decannulation for 3 months without a recurrence of airway obstruction.

RESULTS:

The average operation time was 34 minutes. No complication was met in the perioperative period. Fourteen cases (87.5%) were successfully decannulated within 3 days following PITS. The 2 cases that failed successful decannulation had undergone insertion of a tracheal stent for their hindered tracheal stenosis.

CONCLUSIONS:

The preliminary results reveal that the new operation modality, PITS, is a safe and simple method for the treatment of tracheal granulation tissue and could be a useful alternative for benign tracheal lesions.

• Authors: Tuan-Jen Fang, L I-Ang Lee, Hsueh-Yu Li
• Journal: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (Otolaryngol Head Neck Surg) Vol. 133 Issue 4 Pg. 520-4 (Oct 2005) ISSN: 0194-5998 [Print] England
• PMID: 16213922 (Publication Type: Journal Article)

Topics

• Adult
• Device Removal
• Electric Power Supplies
• Female
• Granulation Tissue (surgery)
• Humans
• Intubation, Intratracheal (instrumentation)
• Laryngoscopy
• Male
• Middle Aged
• Postoperative Complications
• Retrospective Studies
• Tracheostomy (adverse effects)
• Treatment Outcome