decannulation

Future appointment scheduling, as needed (if your child has a tracheotomy tube, you may make multiple visits to the Airway Center between the first visit and completion of the decannulation process).

Your child's airway and swallowing evaluation 2010

In cases of chronic laryngeal stenosis a prolonged test is necessary before attempting decannulation.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

If the laryngeal condition has been acute, decannulation can usually be safely done after the patient has been able to sleep quietly for three nights with

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

-- When the tracheal incision is placed below the first ring, no difficulty in decannulation should result from the operation per se.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Same patient as Fig. 1; sketch made two years after decannulation and plastic.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

-- Nothing so terrifies a child as severe dyspnea; and the memory of previous struggles for air, together with the greater ease of breathing through the tracheotomic cannula than through even a normal larynx, incites in some cases so great a degree of fear that it may properly be called panic, when attempts at decannulation are made.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Only too frequently the stenosis should be called posttracheotomic rather than postdiphtheritic, since decannulation after the subsidence of the acute stenosis would have been easy had it not been for the sequelae of the faulty tracheotomy.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

Should the pulmonary and laryngeal tuberculosis be fortunately cured, leaving, however, a cicatricial stenosis of the larynx, decannulation may be accomplished by laryngostomy.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

_Galvano-cauterization_ is the best method of treatment for chronic subglottic edema or hyperplasia such as is seen in children following diphtheria, when the stenosis produced prevents extubation or decannulation.

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911

_Hyperplastic and cicatricial chronic stenoses_ preventing decannulation may be classified etiologically as follows:

Bronchoscopy and Esophagoscopy A Manual of Peroral Endoscopy and Laryngeal Surgery Chevalier Jackson 1911