Avoiding granulations and accidental decannulation in paediatric tracheostomy

Manish Munjal; Shubham Munjal; Deepak Bhatt; Vineeta Arora; Salony Sharma; Shivam Talwar; Deeksha Chawla; Hardeep Kaur; Lovleen Sandhu; Anurima Arora; Iti Bharadwaj; Tanvi Joshi

doi:10.18203/2349-3291.ijcp20223427

Authors

Manish Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Shubham Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Deepak Bhatt Department of Pediatrics, Dayanand Medical College, Ludhiana, Punjab, India
Vineeta Arora Department of Obstetrics and Gynaecology, Dayanand Medical College, Ludhiana, Punjab, India
Salony Sharma Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Shivam Talwar Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Deeksha Chawla Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Hardeep Kaur Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Lovleen Sandhu Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Anurima Arora Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Iti Bharadwaj Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
Tanvi Joshi Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20223427

Keywords:

Tracheostomy, Paediatric, Granulations, Decannulation, Sutures, Stay

Abstract

Tracheal access, accidental deccannulation, peristomal granulation, stenosis and difficult weaning are the laryngologist’s dilemma, wherever tracheostomy has been resorted to, in the paediatric age group. These major problems necessitate a modification in the procedure of tracheostomy where ‘stay’ and ‘maturation’ sutures are utilized. The stay sutures facilitate a quick midline tracheotomy and the maturation ones minimise parastomal granulation and easy tracheal recannulation.

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