{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T09:15:08Z","timestamp":1794042908203,"version":"4.8.0"},"reference-count":37,"publisher":"American Speech Language Hearing Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Speech Lang Pathol"],"published-print":{"date-parts":[[2019,8,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this clinical focus article is to describe the frequency, indications, and outcomes of fenestrated tracheostomy tube use in a large academic institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective chart review was conducted to evaluate the use of fenestrated tracheostomy tubes between 2007 and 2017. Patients were included in the study if they were \u2265 18 years of age and received a fenestrated tracheostomy tube in the recent 10-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 2,000 patients who received a tracheostomy, 15 patients had a fenestrated tracheostomy tube; however, only 5 patients received a fenestrated tracheostomy tube at the study institution.<\/jats:p>\n                    <jats:p>The primary reason why the 15 patients received a tracheostomy was chronic respiratory failure (73%); other reasons included airway obstruction (20%) and airway protection (7%). Thirteen (87%) patients received a fenestrated tracheostomy tube for phonation purposes. The remaining 2 patients received it as a step to weaning. Of the 13 patients who received a fenestrated tracheostomy tube for phonation, only 1 patient was not able to phonate. Nine (60%) patients developed some type of complications: granulation only, 2 (13.3%); granulation and tracheomalacia, 2 (13.3%); granulation and stenosis, 4 (26.7%); and granulation, tracheomalacia, and stenosis, 1 (6.7%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Fenestrated tracheostomy tubes may assist with phonation in patients who cannot tolerate a 1-way speaking valve; however, the risk of developing granulation tissue, tracheomalacia, and tracheal stenosis exists. Health care providers should be educated on the safe use of a fenestrated tracheostomy tube and other options available to improve phonation while ensuring patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1044\/2019_ajslp-18-0187","type":"journal-article","created":{"date-parts":[[2019,7,18]],"date-time":"2019-07-18T14:43:13Z","timestamp":1563460993000},"page":"1019-1028","source":"Crossref","is-referenced-by-count":20,"title":["Are Fenestrated Tracheostomy Tubes Still Valuable?"],"prefix":"10.1044","volume":"28","author":[{"given":"Vinciya","family":"Pandian","sequence":"first","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah E.","family":"Boisen","sequence":"additional","affiliation":[{"name":"The Johns Hopkins Hospital, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shifali","family":"Mathews","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Nursing, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Therese","family":"Cole","sequence":"additional","affiliation":[{"name":"The Johns Hopkins Hospital, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1310","reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcomdis.2015.06.003"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0196-0709(94)90043-4"},{"issue":"4","key":"e_1_3_2_4_1","first-page":"203","article-title":"The Swedish modification of the tracheostomy tube to permit speech","volume":"31","author":"Andersson G.","year":"1993","journal-title":"Paraplegia"},{"issue":"3","key":"e_1_3_2_5_1","first-page":"267","article-title":"Tracheostomy discontinuation: Impact of tube selection on resistance during tube occlusion","volume":"38","author":"Beard B.","year":"1993","journal-title":"Respiratory Care"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/9272865"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003368"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-014-2842-4"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556130608500117"},{"issue":"4","key":"e_1_3_2_10_1","first-page":"538","article-title":"Tracheostomy decannulation","volume":"50","author":"Christopher K. 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