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Role of polysomnography in tracheostomy decannulation in the paediatric patient

Published online by Cambridge University Press:  29 June 2007

Bakul Mukherjee ,
Arvind Singh Bais  and
Yogesh Bajaj
Bakul Mukherjee*
Affiliation:
Departments of Otorhinolaryngology and Head and Neck Surgery. Lady Hardinge Medical College and Sucheta Kripalani Hospital and Kalawati Saran Children's Hospital, New Delhi, India.
Arvind Singh Bais
Affiliation:
Departments of Otorhinolaryngology and Head and Neck Surgery. Lady Hardinge Medical College and Sucheta Kripalani Hospital and Kalawati Saran Children's Hospital, New Delhi, India.
Yogesh Bajaj
Affiliation:
Departments of Otorhinolaryngology and Head and Neck Surgery. Lady Hardinge Medical College and Sucheta Kripalani Hospital and Kalawati Saran Children's Hospital, New Delhi, India.
*
Address for correspondence: Dr Bakul Mukherjee, 93 South Park Apartments, Kalkaji, New Delhi - 110019, India. Fax: 0091-11-6425564
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Abstract

Tracheostomy in infants and children has been the subject of controversy in the medical literature, but decannulation in the paediatric patient is even more controversial. Various approaches and techniques have been used for decannulation, however in spite of all efforts it continues to be a problem. The objective of our study was to assess the role of polysomnography (PSG) in predicting readiness for decannulation. All subjects (n = 31) of the study were less than 12 years of age, and tracheostomized for periods of at least six months to ensure a minimum period of dependence on the tube. All had clinical, radiological and endoscopic clearance before PSG was performed. Twenty-one out of 22 patients with favourable PSG data were successfully decannulated. Attempts to decannulate all the nine patients with unfavourable PSG failed. The conclusion of the study was that PSG is a useful adjunct to the many methods of evaluating readiness for decannulation in children with long-term tracheostomy tubes.

Keywords

PolysomnographyTracheostomyChild
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 5 , May 1999 , pp. 442 - 445
Copyright
Copyright © JLO (1984) Limited 1999

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