In order to improve care and reduce organizational costs, the Head & Neck Institute at Cleveland Clinic implemented a care pathway approach.
A 5-year-old tracheostomy-dependent patient presents to pediatric otolaryngology for follow-up. The patient was born at 32 weeks gestation, and has a complex medical history that includes chronic lung disease, pulmonary hypertension, respiratory failure, achondroplasia and an autism diagnosis. In this case study, pediatric otolaryngologist Brandon Hopkins, MD, discusses factors that should be considered in a decision to progress to decannulation.
Endoscopic suture technique may further reduce length of stay and adverse treatment effects in endoscopic posterior cricoid split with costal cartilage grafting. Cleveland Clinic otolaryngologist Brandon Hopkins, MD, describes the technique in this case report.