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Does tracheostomy in children retard the growth of trachea or larynx?

A Wright, G M Ardran, P M Stell

    Clinical Otolaryngology and Allied Sciences
    |April 1, 1981
    PubMed

    Insights

    Tracheostomy in children rarely impacts tracheal or cricoid growth long-term. This study suggests conservative management for traumatic tracheal narrowing in pediatric patients.

    Area of Science:

    • Pediatric Otolaryngology
    • Respiratory Medicine
    • Pediatric Surgery

    Background:

    • Tracheostomy in children can lead to tracheal stenosis and laryngeal stenosis, complicating decannulation.
    • Long-term follow-up data on the effects of pediatric tracheostomy post-decannulation are limited in existing literature.

    Purpose of the Study:

    • To evaluate the long-term radiological dimensions of the cricoid and tracheal lumens after pediatric tracheostomy.
    • To compare these dimensions with normal pediatric populations.
    • To assess the impact of tracheostomy on the subsequent growth of the pediatric trachea and cricoid.

    Main Methods:

    • Radiological assessment of cricoid and tracheal lumen size in children post-decannulation.
    • Comparison of measurements with normative data for pediatric patients.
    • Analysis of long-term growth patterns following tracheostomy.

    Main Results:

    • In most cases, tracheostomy did not significantly affect the subsequent growth of the trachea or cricoid lumen size.
    • No significant long-term radiological abnormalities were observed in the majority of pediatric patients studied.

    Conclusions:

    • Pediatric tracheostomy generally does not impede the long-term growth of the trachea or cricoid.
    • Conservative management is recommended for traumatic tracheal narrowing in children, avoiding unnecessary surgical intervention.

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