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: Stoyan S. Markov, Petya P. Markova, Karen B. Dzhambazov, Elizabet K. Dzhambazova
Format: Article
Language:English
Published: Pensoft Publishers 2025-08-01
Series:Folia Medica
Online Access:https://foliamedica.bg/article/151098/download/pdf/
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author Stoyan S. Markov
Petya P. Markova
Karen B. Dzhambazov
Elizabet K. Dzhambazova
author_facet Stoyan S. Markov
Petya P. Markova
Karen B. Dzhambazov
Elizabet K. Dzhambazova
author_sort Stoyan S. Markov
collection DOAJ
description 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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institution Kabale University
issn 1314-2143
language English
publishDate 2025-08-01
publisher Pensoft Publishers
record_format Article
series Folia Medica
spelling doaj-art-2d071fd286604a798d123661bb6163202025-08-20T04:03:12ZengPensoft PublishersFolia Medica1314-21432025-08-016741610.3897/folmed.67.e151098151098Pediatric tracheotomy: insights from a single-center studyStoyan S. Markov0Petya P. Markova1Karen B. Dzhambazov2Elizabet K. Dzhambazova3Medical University of PlovdivMedical University of PlovdivMedical University of PlovdivMedical University of PlovdivIntroduction: 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.https://foliamedica.bg/article/151098/download/pdf/
spellingShingle Stoyan S. Markov
Petya P. Markova
Karen B. Dzhambazov
Elizabet K. Dzhambazova
Pediatric tracheotomy: insights from a single-center study
Folia Medica
title Pediatric tracheotomy: insights from a single-center study
title_full Pediatric tracheotomy: insights from a single-center study
title_fullStr Pediatric tracheotomy: insights from a single-center study
title_full_unstemmed Pediatric tracheotomy: insights from a single-center study
title_short Pediatric tracheotomy: insights from a single-center study
title_sort pediatric tracheotomy insights from a single center study
url https://foliamedica.bg/article/151098/download/pdf/
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AT elizabetkdzhambazova pediatrictracheotomyinsightsfromasinglecenterstudy