Pediatric tracheotomy: insights from a single-center study
Introduction: Over the years, pediatric tracheotomy has evolved significantly, and ongoing debates regarding its indications, timing, surgical techniques, and decannulation protocols persist. In most cases, management decisions are based on the medical team’s clinical experience and existing literat...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pensoft Publishers
2025-08-01
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| Series: | Folia Medica |
| Online Access: | https://foliamedica.bg/article/151098/download/pdf/ |
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| Summary: | Introduction: Over the years, pediatric tracheotomy has evolved significantly, and ongoing debates regarding its indications, timing, surgical techniques, and decannulation protocols persist. In most cases, management decisions are based on the medical team’s clinical experience and existing literature, as there are no universally accepted guidelines. Aim: This study aims to present our experience with pediatric tracheostomies and compare our results with those reported in the international literature. Patients and methods: Over the past few years, 18 pediatric tracheotomies were performed at the ENT Clinic at St George University Hospital in Plovdiv due to various chronic conditions. All procedures were planned due to disease progression. Results: The surgical interventions were completed without complications in all cases. Eight patients underwent permanent tracheostomy, while ten underwent temporary tracheostomy. Three children were successfully decannulated. Conclusion: Pediatric tracheotomy is a relatively rare surgical procedure with an estimated incidence rate of 6.6 per 100,000, according to the literature. Despite extensive research on the topic, several aspects of planned pediatric tracheotomy remain under discussion and require further clarification. |
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| ISSN: | 1314-2143 |