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Tracheostomy reversal years after patient lost to follow-up

BACKGROUND: Pediatric tracheostomies occur for various reasons, including prologned intubation, and require a multidisciplinary approach with routine follow-up. CASE PRESENTATION: This report reviews the history and clinical outcome of a 29 year old female patient who was lost to follow-up for nearl...

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Detalles Bibliográficos
Autores principales: Querney, Jill, Ethier, Jean-Luc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044025/
https://www.ncbi.nlm.nih.gov/pubmed/30001737
http://dx.doi.org/10.1186/s40463-018-0291-x
Descripción
Sumario:BACKGROUND: Pediatric tracheostomies occur for various reasons, including prologned intubation, and require a multidisciplinary approach with routine follow-up. CASE PRESENTATION: This report reviews the history and clinical outcome of a 29 year old female patient who was lost to follow-up for nearly two decades after a pediatric tracheostomy. When she presented to the Otolaryngology service as an adult the original indication for tracheostomy had resolved and decannulation was initiated, but a profound psychological dependence had developed. CONCLUSION: This case outlines the importance of regular follow-up for tracheostomy patients, as well as health care barriers faced in remote rural communities.