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Old 05-04-2011, 08:47 AM
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JWorthington JWorthington is offline
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Question Stoma closure question

Am asking this question on behalf of someone else Does anyone know of a graft being required in order to close a trach stoma, apparently this child's stoma is too large and will probably need a graft to close it. it's not something I've heard of - anyone else??
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Sam Feb 11 2003 Opitz G/BBB syndrome, mickey, nissen, autistic,supraventricular tachycardia, bronchiolitis obliterans. decanned May 30 2009. 2 brothers Jonathan (23) James (14).
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Old 05-04-2011, 09:00 AM
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I have heard of this--obviously not in our case--but when our doctors thought we would be a non-surgical decannulation, they told us that the stoma would need to be closed surgically. And they said that in some cases, along with "coring" the stoma, they might need to do a little skin stretching or skin graft to close it.
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Nathan is 7! Trached at 2 hours old--laryngeal atresia. Double stage LTP 5/26/06, double stage LTP 1/23/09 and single stage LTP 4/21/09. Airway has restenosed, but we're still trach free 9/2012. Ding dong, the trach is gone!!
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Old 05-04-2011, 01:05 PM
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Ayden didn't really have a graft, per se, but rather, the ENT took some muscle to cover over the stoma so that it "built it up" and wasn't sunken. When he did this, Ayden's stoma was probably around a 3.0 size or more. The skin covered over it and the scar is left to right, not up down. I don't know if this helps or not...
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former 26 weeker -- 4/2006 -- trach, g-tube, nissen; came home 1/07 vented 24/7; Successfully decanned 8/8/2008 -
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Old 05-04-2011, 02:19 PM
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JWorthington JWorthington is offline
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Thanks for all the info, will pass it on! Knew I could rely on you guys
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Sam Feb 11 2003 Opitz G/BBB syndrome, mickey, nissen, autistic,supraventricular tachycardia, bronchiolitis obliterans. decanned May 30 2009. 2 brothers Jonathan (23) James (14).
I am first and foremost a child
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Old 05-04-2011, 07:32 PM
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That's interesting, Dawn! Mackenzie's stoma is between a 3.5 and a 3.0... probably more like a 3.0. We just saw our ENT today, and he said he was willing to close the stoma sooner than the traditional 6 months. We're thinking of waiting 2 months and then getting it over with.
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Old 05-05-2011, 02:59 AM
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Quote:
Originally Posted by Niff View Post
That's interesting, Dawn! Mackenzie's stoma is between a 3.5 and a 3.0... probably more like a 3.0. We just saw our ENT today, and he said he was willing to close the stoma sooner than the traditional 6 months. We're thinking of waiting 2 months and then getting it over with.
i want your ENT doc ! ours says six months then with the waiting list godness knows how long it will acctualy end up being!
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Mum to an ex 24wk prem now 4 yrs old with Chronic lung disease, chryocid web, immobile vocal cords and vision impaired from ROP. Decanned 10th March 2011 , plan to repeat LTR due to body reabsorbing graph, date unknown
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Old 05-05-2011, 05:28 AM
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Originally Posted by glowingpurpleaura View Post
i want your ENT doc ! ours says six months then with the waiting list godness knows how long it will acctualy end up being!
We have been very fortunate. We have a terrific team.
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