Pediatric tracheocutaneous fistulae are best managed initially with secondary closure techniques. This procedure can be performed twice before significant further evaluation should be undertaken. Further studies are still needed with larger patient volumes to power management minutiae for pediatric tracheocutaneous fistulae.
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http://dx.doi.org/10.1002/lary.31830 | DOI Listing |
Pediatr Blood Cancer
February 2025
Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.
Background: Children with cancer face a high risk of complications including prolonged mechanical ventilation requiring tracheostomies. While tracheostomies have been demonstrated to be a generally safe procedure, there remain significant rare complications and a paucity of literature addressing outcomes specifically for pediatric patients with cancer. The objective of this study was to characterize pediatric patients with cancer who underwent tracheostomies and describe their indications and outcomes for length of stay, decannulation, and complications.
View Article and Find Full Text PDFLaryngoscope
October 2024
Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, U.S.A.
Pediatric tracheocutaneous fistulae are best managed initially with secondary closure techniques. This procedure can be performed twice before significant further evaluation should be undertaken. Further studies are still needed with larger patient volumes to power management minutiae for pediatric tracheocutaneous fistulae.
View Article and Find Full Text PDFLaryngoscope
June 2024
Bobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, U.S.A.
Objective: The purpose of this study is to determine whether tracheostomy stomal maturation affects the risk of tracheocutaneous fistula (TCF) in children.
Methods: A retrospective chart review was conducted for all children who both underwent a tracheostomy and were decannulated between 2012 and 2021 at a tertiary children's hospital. Charts were analyzed for demographics, surgical technique, and development of a TCF.
Curr Opin Otolaryngol Head Neck Surg
December 2023
Texas Children's Hospital, Houston, TX, USA.
Purpose Of Review: Pediatric decannulation failure can be associated with large morbidity and mortality, yet there are no published evidence-based guidelines for pediatric tracheostomy decannulation. Tracheostomy is frequently performed in medically complex children in whom it can be difficult to predict when and how to safely decannulate.
Recent Findings: Published studies regarding pediatric decannulation are limited to reviews and case series from single institutions, with varying populations, indications for tracheostomy, and institutional resources.
Turk J Pediatr
September 2023
Division of Neonatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara.
Background: Babies with severe bronchopulmonary dysplasia (BPD) are discharged with the support of a home-type mechanical ventilator, after opening a tracheostomy. In addition, although rare, tracheostomy is required in the neonatal period in congenital airway malformations. Early tracheostomy is appropriate to prevent complications due to prolonged intubation.
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