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Pre-decannulation Peristomal Findings in Tracheostomized Cases and Their Effect on the Success of Decannulation

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Abstract

Decannulating a patient on a tracheostomy is a procedure that has to be dealt with vigilantly. This study evaluated both external and telescopic/bronchoscopic findings at the peristomal level of subjects being considered for decannulation. The patients did not undergo any intervention after above observations and before attempting decannulation. Thereafter peristomal findings and their contribution towards failure to decannulate were correlated. Thirty subjects were studied prospectively, of whom 21 (70 %) demonstrated peristomal complications including granulation tissue, ulceration, mucopurulent discharge, suprastomal granulations, suprastomal collapse and suprastomal flap. Complications were more common in the younger age group (p = 0.007) as well as in tracheostomies of longer duration with mean duration >20 months (p = 0.045). However there was no statistically significant correlation between the success of decannulation and various peristomal findings. Therefore the success of decannulation in a particular case cannot always be correctly predicted by peristomal assessment.

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Acknowledgments

This research received no specific Grant from any funding agency, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. VMMC & Safdarjung Hospital, #456, OPD Block, New Delhi, 110029, India

    N. N. Mathur & L. M. Sohliya

Authors
  1. N. N. Mathur
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  2. L. M. Sohliya
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Correspondence to L. M. Sohliya.

Additional information

Mukut Saharia Award for the best resident’s paper at the 35th Annual Conference of the The Association of Otolaryngologist of India, New Delhi (28th and 29th of April 2012).

Paper presentation at the 65th Annual Conference of the Association of Otolaryngologists of India (3–6th January 2013).

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Mathur, N.N., Sohliya, L.M. Pre-decannulation Peristomal Findings in Tracheostomized Cases and Their Effect on the Success of Decannulation. Indian J Otolaryngol Head Neck Surg 67 (Suppl 1), 91–97 (2015). https://doi.org/10.1007/s12070-014-0785-4

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  • DOI: https://doi.org/10.1007/s12070-014-0785-4

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