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Percutaneous tracheotomy in children

Lidia Zawadzka-Glos1, Marcin Rawicz, Mieczysław Chmielik

  • 1Department of Paediatric Otorhinolaryngology, The Medical University of Warsaw, 24 Marszałkowska Str., 00-576 Warsaw, Poland. zawadzkaglos@poczta.onet.pl

International Journal of Pediatric Otorhinolaryngology
|October 19, 2004
PubMed

Insights

Fantoni percutaneous translaryngeal tracheostomy (TLT) is a safe and effective procedure for children under 10 years old. This study details three pediatric cases, highlighting its suitability and low complication rate in specific pediatric respiratory emergencies.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Airway management in pediatric emergencies presents unique challenges.
  • Percutaneous translaryngeal tracheostomy (TLT) offers a minimally invasive alternative for airway access.
  • Limited data exists on the efficacy and safety of Fantoni TLT in young children.

Purpose of the Study:

  • To present three pediatric cases undergoing Fantoni percutaneous translaryngeal tracheostomy (TLT).
  • To detail the surgical technique and patient selection criteria for pediatric TLT.
  • To evaluate the safety and complication profile of TLT in children under 10 years.

Main Methods:

  • Three pediatric patients underwent Fantoni TLT under direct rigid bronchoscopy.
  • Case 1: 5-year-old boy, near-drowned.
  • Case 2: 15-year-old girl with lupus erythematosus and brain damage post-cardiac arrest.
  • Case 3: 11-year-old girl with postintubation laryngeal stenosis.

Main Results:

  • The procedure was uneventful in the first two cases.
  • One case required conversion to surgical tracheostomy due to accidental tube dislodgement.
  • The Fantoni TLT demonstrated suitability for children under 10 years of age.

Conclusions:

  • Fantoni percutaneous translaryngeal tracheostomy (TLT) is a viable option for pediatric airway management.
  • The procedure is particularly well-suited for children under 10 years old.
  • TLT is associated with a low rate of complications when performed correctly.

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