2021 Volume 72 Issue 3 Pages 115-123
Major complications of tracheotomy tube placement in children include the formation of suprastomal granulation and suprastomal tracheal collapse, with subsequent unsuccessful decannulation. Surgical treatment, tracheostomaplasty, is usually conducted in these children; however, there are no reports regarding these cases. We therefore researched the targeted development factors of 48 cases with successful decannulation over the past five years. The operations included 27 cases (11 for granuloma only, 9 for collapse only, and 7 for granuloma and collapse). There were no significant differences between the operated group and the non-operated group regarding the tracheotomy tube placement period and the age at which the tracheotomy tube was placed. However, there was a significant difference regarding the age of decannulation. An operation was needed so that the patient would be young when decannulation was attempted. There was also a significant difference regarding the material of the cannula. Cases in which a cannula made of harder polyvinyl chloride was used tended to need an operation more than cases in which a cannula made of silicon was used. Also, the development rate of granulation was high among aspirationprone patients. We report these cases including the treatment protocol and operation method used at our hospital.
