Polysomnography in management of tracheostomy for pediatric patients with craniofacial anomalies

   At Triological Society 2013, held April 2013 in Orlando, researchers at the University of North Carolina in Chapel Hill reported on their evaluation of the evolving utility of polysomnography (PSG) in the management of tracheostomies in pediatric patients with craniofacial anomalies. 

 

    They performed a retrospective chart review of 12 pediatric patients (four males) with craniofacial anomalies and a tracheostomy who underwent PSG. Their diagnoses included Goldenhar (n=1), Larsen (n=1), Pierre Robin (n=6), and Treacher Collins (n=1), as well as other craniofacial anomalies (n=3). Of the 12 patients (mean age at tracheostomy three months, age range five days to one year), eight have been decannulated with confirmed airway stability utilizing PSG. The mean period of tracheostomy placement was 26 months (range was 14-46 months). The remaining four patients are tracheostomy dependent due to central apnea (n=3) and obstructive apnea (n=1) found on the PSG.

   “Polysomnography provides objective measures which augment clinical parameters for evaluating patients for potential tracheostomy decannulation and to confirm airway stability after decannulation for pediatric patients with craniofacial anomalies,” the University of North Carolina researchers concluded.