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"Decannulation"

Original Articles

Effect of Decannulation on Pharyngeal and Laryngeal Movement in Post-Stroke Tracheostomized Patients: Soo Jin Jung, Deog Young Kim, Yong Wook Kim, Yoon Woo Koh, So Young Joo, Eun Sung Kim; Ann Rehabil Med 2012;36(3):356-364. Published online June 30, 2012; DOI: https://doi.org/10.5535/arm.2012.36.3.356

Abstract
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Objective

To investigate effects of tracheostomy tube on the movement of the hyoid bone and larynx during swallowing by quantitative analysis of videofluoroscopic swallowing study.

Method

19 adult stroke patients with tracheostomies, who met the criteria of decannulation participated. Serial videofluroscopic swallowing studies were done over 14 days before decannulation, within 24 hours before decannulation, within 24 hours after decannulation, and over 14 days after decannulation. The kinematic parameter such as pharyngeal transition time, stage transition duration, maximal hyoid bone movement, and maximal laryngeal prominence movement were obtained by 2-D quantitative analysis of videofluoroscopic swallowing study.

Results

Pharyngeal transition time and stage transition duration were not significantly changed all the time. The maximal hyoid bone movement and maximal laryngeal prominence just after decannulation were improved significantly compared to just before decannulation (p<0.05), especially on vertical movement.

Conclusion

The hypothesis that a tracheostomy tube disturbs the hyoid bone and laryngeal movement during swallowing may be supported by this study.

Citations

Citations to this article as recorded by

Improvement in Dysphagia after Stoma Closure and Restoration of Subglottic Pressure: A Case Report
Sangwoo Kim, Dae Hyun Kim, Won Hyuk Chang, Ho Seok Lee
Journal of the Korean Dysphagia Society.2026; 16(1): 10. CrossRef
Predicting pneumonia algorithm in stroke patients
Jong Weon Lee, Hyun-Joung Lee, Hyeon Ju Jang, Yeseul Yun, Deog Young Kim
Frontiers in Neurology.2025;[Epub] CrossRef
Tracheostomy-Related Swallowing Issues in Children
Eileen M. Raynor, Daniel Wohl
Otolaryngologic Clinics of North America.2024; 57(4): 649. CrossRef
Comparison of postoperative complications in early versus delayed tracheostomy decannulation in patients undergoing oral cancer surgery with microvascular reconstruction
Ashim Adhikari, Anthony Noor, Manish Mair, Joyce Ho, Jordan Fuzi, Mitchell Giles, Ryan Winters, Eileen Tan-Gore, Daron Cope, Gary Hoffman, Robert Eisenberg
British Journal of Oral and Maxillofacial Surgery.2023; 61(1): 101. CrossRef
Tracheostomy Decannulation and Disorders of Consciousness Evolution
Pablo A Bellon, Mauro J Bosso, Joaquín E Carnero Echegaray, Florencia Larocca, Julieta Gagliardi, Walter A Primosich, Hernán M Pavón, Rodrigo Di Yorio, Jorge J Cancino
Respiratory Care.2022; 67(2): 209. CrossRef
Formação profissional do fonoaudiólogo brasileiro e seu impacto na aplicação do Blue Dye Test (BDT)
Flávia Pereira da Costa, Daniella Priscila de Lima, Karoline Mendonça, Lúcia Figueiredo Mourão
CoDAS.2021;[Epub] CrossRef
In Reference to Utility of Esophagrams to Detect Prevertebral Invasion in Hypopharyngeal carcinomas
Suresh Mani, Dheeraj Kondamudi, Smriti Panda, Rajeev Kumar
The Laryngoscope.2021;[Epub] CrossRef
Análise do tempo de decanulação e liberação de via oral em pacientes com câncer de boca
Silmara de Abreu Melgaço, Laelia Cristina Caseiro Vicente, Ana Cristina Côrtes Gama
CoDAS.2021;[Epub] CrossRef
Decanulación y evolución de la alteración crónica del estado de conciencia
Pablo Bellón, Mauro Bosso, Maria V. Motti, Guillermo Bataglia, Joaquín Carnero Echegaray, Juan Martin Cuccenelli, Julieta Gagliardi, Florencia Larocca, Rocío Medina, Gastón Muhafara, Walter A. Primosich, Hernán Pavón, Rodrigo Di Yorio, Jorge Cancino
Neurología Argentina.2020; 12(1): 20. CrossRef
Swallowing Mechanics Associated With Artificial Airways, Bolus Properties, and Penetration–Aspiration Status in Trauma Patients
Angela M. Dietsch, Christopher B. Rowley, Nancy Pearl Solomon, William G. Pearson,
Journal of Speech, Language, and Hearing Research.2017; 60(9): 2442. CrossRef
Diagnostic Accuracy of the Modified Evan’s Blue Dye Test in Detecting Aspiration in Patients with Tracheostomy: A Systematic Review of the Evidence
Sibylle Béchet, Fiona Hill, Órla Gilheaney, Margaret Walshe
Dysphagia.2016; 31(6): 721. CrossRef
A Retrospective Review of Swallow Dysfunction in Patients with Severe Traumatic Brain Injury
Amy Mandaville, Anjea Ray, Henry Robertson, Careen Foster, Christine Jesser
Dysphagia.2014; 29(3): 310. CrossRef
Decannulation and Assessment of Deglutition in the Tracheostomized Patient in Non-Neurocritical Intensive Care
Andrés Alvo, Christian Olavarría
Acta Otorrinolaringologica (English Edition).2014; 65(2): 114. CrossRef
Decanulación y evaluación de la deglución del paciente traqueotomizado en cuidados intensivos no-neurocríticos
Andrés Alvo, Christian Olavarría
Acta Otorrinolaringológica Española.2014; 65(2): 114. CrossRef
Swallowing disorders in tracheostomised patients: a multidisciplinary/multiprofessional approach in decannulation protocols
Giancarlo Garuti, Cristina Reverberi, Angelo Briganti, Monica Massobrio, Francesco Lombardi, Mirco Lusuardi
Multidisciplinary Respiratory Medicine.2014;[Epub] CrossRef
The effects of increasing effective airway diameter on weaning from mechanical ventilation in tracheostomized patients: a randomized controlled trial
Gonzalo Hernandez, Ana Pedrosa, Ramon Ortiz, Maria del Mar Cruz Accuaroni, Rafael Cuena, Concepción Vaquero Collado, Susana García Plaza, Paloma González Arenas, Rafael Fernandez
Intensive Care Medicine.2013; 39(6): 1063. CrossRef

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Factors Affecting Wound Healing after Decannulation of Tracheostomy Tube.: Kim, Seong Kyun , Jung, Jae Hwan , Kim, Ji Sung , Kim, Yong Kyun; J Korean Acad Rehabil Med 2010;34(4):432-435.

Abstract
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Objective
To see the factors affecting wound recovery of the patients who decannulated tracheostomy tube and to provide an index to guide proper time for stomaplasty. Method: The subjects were 41 patients having received tracheostomy tube decannulation. The medical records of the subject patients were investigated retrospectively. Among the group with natural sealing off, the factors affecting spontaneous closure were compared in terms of the duration of tracheostomy tube cannulation, age, hemoglobin, protein, albumin, peak flow meter, mini-mental status examination (MMSE), and oral feeding. Results: The group with natural sealing off had 142 days as the average period of tracheostomy tube cannulation while the group without showed 652.33 days. The duration of tracheostomy was statistically significant in linear regression analysis. In addition, the groups with oral feeding and without oral feeding were significantly different from each other (p＜0.05). Conclusion: Significant factors affecting wound recovery after tracheostomy tube decannulation were the duration from tracheostomy operation to tracheostomy tube decannulation and oral feeding. (J Korean Acad Rehab Med 2010; 34: 432-435)

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Case Report

Non-invasive Intermittent Positive Pressure Ventilation Apply to Complete Tetraplegia due to C1 Spinal Cord Injury: A case report.: Park, Jung Hyun , Kang, Seong Woong , Cho, Dong Hee; J Korean Acad Rehabil Med 2004;28(5):501-504.

Abstract
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The patients who have high cervical cord injury with paralysis of diaphragm are not able to live without mechanical ventilatory support. In conventional concept, tracheostomy is necessary for long-term use of mechanical ventilation. We reported a 33-year-old man diagnosed with complete tetraplegia due to C1 spinal cord injury. He had used intermittent mechanical ventilation via tracheostomy tube. He had no movement of diaphragm and showed hypercapnia and hypoxemia without ventilatory support for several hours. He showed 400 ml of vital capacity and un-obtainable peak cough flow level but it could be obtained 300 L/min of assisted peak cough flow. Noninvasive intermittent positive pressure ventilation (NIPPV) was applied from invasive method and decannulation and tracheostomy closure was performed successfully. He had no pulmonary complications for six months. This case could be a good model for the indication of NIPPV application and decannulation. (J Korean Acad Rehab Med 2004; 28: 501-504)