wondering about granuloma

[trach mom]

I am wondering about granuloma. Is it scar tissue? Also, is the scar tissue on the stoma right under the trach considered granuloma? Kyrsten's scar tissue was lopsided at one time when she was really small and made the trach tube sit lopsided. It evened out eventually. There seems to be so much of it now. I was wondering all this because I may want to try the vinegar thing on it.

I have one more question. After decannulation, does a doctor remove the scar tissue at the trach site or just leave it be?

[Lily's Mom]

A granuloma is sorta like an overgrowth of scar tissue, the body's response to irritation or injury. It usually looks bright red and may bleed easily or produce a mucous substance. Lily's granulation tissue around her g=tube is bright red and gooey, but the granuloma at her trach stoma looks like a big skin tag or something. She also has scarring under the stoma from the initial trach placement. When she got decannulated last month (for 4 days, sigh) they told us that sometimes they will do an outpatient surgical procedure to reduce the appearance of the scarring after the trach is out or to close the stoma all the way if it hasn't already (Lily's closed completely in about a day).

I'm still debating on whether to douse Lily in vinegar; I think I may try the silver nitrate again since that's what we did before.

http://www.twinEnterprises.com/iB_html/non-cgi/emoticons/smile.gif
Erica (Lily's Mom)

[p's mom]

I'm curious because recently I showed the doc Parkers granuloma's and she said not to worry and they would be removed after he's decannulated. So I haven't thought anymore of it. Our Ent said if it was removed and the trach was still in it would come right back. They don't go away until the after decannulation. The trach irritates the sight and therefore makes the granuloma's. I don't know. He has several around the outside of his stoma. So I what would I do?http://www.twinEnterprises.com/iB_html/non-cgi/emoticons/confused.gif just put some vinegar on gauze and rub it across the stoma and eventually it would go away? that sounds wild!!

A friend of mine's daughter has some the same as Parker's and they changed her trach from a shiley to a Bivonna (hope I spelled that right). Her ENT said it was softer and would reduce the granuloma. She's to be decannulated in July. They wanted to try and avoid any surgery to remove them if they could.

P's MOM