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- Title
Powered Instrumentation in the Treatment of Tracheal Granulation Tissue for Decannulation
- Authors
Fang, Tuan-Jen; Lee, L.I.-Ang; Li, Hsueh-Yu
- 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.
- Subjects
GRANULATION tissue; WOUND healing; HEALING; REGENERATION (Biology)
- Publication
Otolaryngology-Head & Neck Surgery, 2005, Vol 133, Issue 4, p520
- ISSN
0194-5998
- Publication type
Article
- DOI
10.1016/j.otohns.2005.05.652