Update on pediatric tracheostomy

Manabu Komori

doi:10.1016/j.anl.2024.01.003

Update on pediatric tracheostomy

Auris Nasus Larynx. 2024 Mar 22;51(3):429-432. doi: 10.1016/j.anl.2024.01.003. Online ahead of print.

Author

Manabu Komori¹

Affiliation

¹ Department of Otolaryngology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki-city, Kanagawa, Japan. Electronic address: manabu.komori@marianna-u.ac.jp.

PMID: 38520972
DOI: 10.1016/j.anl.2024.01.003

Abstract

Pediatric tracheostomy has been widely performed since the 1800s, and in recent years, with advances in neonatal medicine, it has been performed at younger ages, starting at 0. In addition, advances in surgical techniques and postoperative tube management have reduced complications. This review will discuss the entire process of pediatric tracheostomy, starting with the history of tracheostomy and ending with indications, contraindications, techniques (slit, Björk, EXIT), complications, tube management, and decannulation. Pediatric tracheostomy patients require long-term care and management as they grow after the surgery itself, so otolaryngologists and pediatric tracheostomists are particularly involved in tube management and decannulation. We believe that sharing this information with all healthcare professionals will lead to better care for children with tracheostomies.

Keywords: Cannula management; Complications; Decannulation.

Publication types

Review