Cricothyroidotomy portal was used for tracheal access until decannulation
for a mean of 14.
Although the patient's laryngeal condition was sufficiently improved to allow for decannulation
, the pulmonologist has not yet approved decannulation
for pulmonary reasons.
The symptomatic presentation can be delayed because many patients are critically ill and may die or be discharged before decannulation
Our case 3 had a tracheostomy at day one but subsequent MD had not allowed decannulation
at one year postoperatively.
He remained tracheostomy-dependent some 6 months after surgery, having failed decannulation
twice because of airway distress.
The patient's postoperative recovery was uneventful, and decannulation
took place 3 days later.
Myears DW, Martin RJ, Eckert RC, Sweeney MK Functional versus organic vocal cord paralysis: rapid diagnosis and decannulation
At follow-up 1 year after decannulation
, the patient exhibited no clinical symptoms, and he was in good health off steroids.
22) and up to 27% of survivors may have voice changes, with 10% having persistent respiratory problems after decannulation
Given the lack of improvement in the patient's mental status since his episode of hypoxia and ischemia, decannulation
was not considered.
The child remained in the ICU for 18 days and was later discharged from the hospital after decannulation
of the tracheostomy.
of the tracheotomy was achieved.