Pediatric tracheostomy (also known as tracheotomy) is a surgical procedure that can help a child breathe by creating an opening in the windpipe.The ability to talk with a trach depends on your child's age and the size of the airway. For very young children, the tracheostomy tube size may be too big to allow airflow for speech. However, as your child gets older, the trachea gets bigger, and the ability to speak improves. Assistive devices such as speaking valves or caps may be appropriate for some children. Tracheostomy in children also continues to remain a predominantly surgical procedure, with percutaneous tracheostomy being performed infrequently and only considered feasible in older children. The indications, preoperative considerations, and procedure types for tracheostomy in children are reviewed. There is also a lack of consensus on an optimal pediatric decannulation protocol.
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