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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.

Abstract
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

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.

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