Pediatric Surgery International

, Volume 20, Issue 9, pp 695–698 | Cite as

Pediatric tracheostomy: a 13-year experience

  • A. Alladi
  • S. Rao
  • K. Das
  • A. R. Charles
  • A. J. D’CruzEmail author
Original Article


Pediatric tracheostomy has been reported to be a surgical procedure with significant morbidity and mortality. The use of tracheostomy in airway management has changed over time as regards indication and outcome. A review of the last 13 years’ experience in our institution was carried out to focus on this group of patients and the recent trends in airway management. A retrospective analysis of hospital records was done and information collected with respect to age, gender, indication for tracheostomy, duration, complications, and follow-up. Thirty-nine tracheotomies were done in 36 patients, of whom males outnumbered females 2:1. The mean patient age was 41.6 months while nearly a third were newborns. The indications were congenital and acquired obstructive lesions. Apart from nine cases, all have been treated and decannulated. Follow-up ranged from 1 month to 8 years, and decannulation time from 48 h to 45 months. Home tracheostomy care was very well managed by the parents. One tracheostomy-related death was encountered. Complications were minor and transient and occurred post-decannulation in our series, in contrast to the major complications, both acute and chronic, reported in the literature. More neonates and infants are undergoing tracheostomy and surviving. Pediatric tracheostomy is a safe procedure with home care by parents feasible.


Tracheostomy Pediatric Airway 


  1. 1.
    Carter P, Benjamin B (1983) Ten year review of pediatric tracheotomy. Ann Otol Rhinol Laryngol 92:398–400PubMedGoogle Scholar
  2. 2.
    Wetmore RF, Handler SD, Potsic WP (1982) Pediatric tracheostomy—experience during the past decade. Ann Otol Rhinol Laryngol 91:628–632PubMedGoogle Scholar
  3. 3.
    Tucker JA, Silberman HD (1972) Tracheotomy in pediatrics. Ann Otol Rhinol Laryngol 81:818–824PubMedGoogle Scholar
  4. 4.
    Gaudet PT, Peerless A, Sasaki CT, Kirchner JA (1978) Pediatric tracheostomy and associated complications. Laryngoscope 88:1633–1641PubMedGoogle Scholar
  5. 5.
    Carr MM, Poje CP, Kingston L, Kielma D, Heard C (2001) Complications in Pediatric Tracheostomies. Laryngoscope 111:1925–1928CrossRefPubMedGoogle Scholar
  6. 6.
    Kremer B, Botos-Kremer AI, Eckel HE, Schlöndorff G (2002) Indications, complications and surgical techniques for pediatric tracheostomies—an update. J Ped. Surg 37:1556–1562CrossRefGoogle Scholar
  7. 7.
    Kenna MA, Reilly JS, Stool SE (1987) Tracheotomy in the preterm infant. Ann Otol Rhinol Laryngol 96:68–71PubMedGoogle Scholar
  8. 8.
    Newlands WJ, McKerrow WS (1987) Pediatric tracheostomy. Fifty-seven operations on fifty-three children. J Laryngol Otol 101:929–935PubMedGoogle Scholar
  9. 9.
    Wetmore RF, Marsh RR, Thompson ME, Tom LWC (1999) Pediatric tracheostomy: a changing procedure? Ann Otol Rhinol Laryngol 108:695–699PubMedGoogle Scholar
  10. 10.
    Gerson CR, Tucker GF Jr (1982) Infant tracheotomy. Ann Otol Rhinol Laryngol 91:413–416PubMedGoogle Scholar
  11. 11.
    Crysdale WS, Feldman RI, Naito K (1988) Tracheotomies: a 10 year experience in 319 children. Ann Otol Rhinol Laryngol 97:439–443PubMedGoogle Scholar
  12. 12.
    Gianoli GJ, Miller RH, Guarisco JL (1990) Tracheotomy in the first year of life. Ann Otol Rhinol Laryngol 99:896–901PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • A. Alladi
    • 1
  • S. Rao
    • 1
  • K. Das
    • 1
  • A. R. Charles
    • 1
  • A. J. D’Cruz
    • 1
    Email author
  1. 1.Department of Pediatric SurgerySt. John’s Medical College HospitalBangalore India

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