July 1996

Polysomnography in the Evaluation of Readiness for Decannulation in Children

Author Affiliations

From the Department of Otolaryngology/Head and Neck Surgery (Drs Tunkel and Baroody) and Eudowood Division of Pediatric Respiratory Science, Department of Pediatrics (Drs McColley, Marcus, Carroll, and Loughlin), Johns Hopkins University School of Medicine, Baltimore, Md. Dr McColley is now with the Division of Pediatric Pulmonary and Critical Care Medicine, Children's Memorial Hospital, Chicago, Ill; Dr Baroody, with the Division of Otolaryngology–Head and Neck Surgery, University of Chicago.

Arch Otolaryngol Head Neck Surg. 1996;122(7):721-724. doi:10.1001/archotol.1996.01890190017005

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