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Polysomnography in the Evaluation of Readiness for Decannulation in Children

David E. Tunkel, MD; Susanna A. McColley, MD; Fuad M. Baroody, MD; Carole L. Marcus, MD; John L. Carroll, MD; Gerald M. Loughlin, MD
Arch Otolaryngol Head Neck Surg. 1996;122(7):721-724. doi:10.1001/archotol.1996.01890190017005.
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Objective:  To determine whether polysomnography is useful in the evaluation of readiness for decannulation in children with long-term tracheotomy.

Design:  Descriptive, retrospective case series.

Setting:  Tertiary care pediatric center, pediatric sleep disorders laboratory, and pediatric otolaryngology referral center.

Patients:  Children (younger than 18 years) with tracheotomy undergoing polysomnography to assess their dependence on tracheotomy.

Intervention:  Polysomnography in all patients; endoscopy and decannulation in those judged clinically ready.

Main Outcome Measures:  Success of decannulation.

Results:  Thirteen of 16 patients with favorable polysomnographic data were successfully decannulated.

Conclusion:  Polysomnography is a useful supplement to airway endoscopy in the evaluation of readiness for decannulation in children with long-term tracheotomy and dynamic airway issues.Arch Otolaryngol Head Neck Surg. 1996;122:721-724


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