Paediatric Tracheostomy
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2025-03-08
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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery
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University of Cape Town
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Abstract
Tracheotomy refers to making an opening into the trachea whilst tracheostomy refers to creating a formal stoma and a communication between the trachea and the overlying skin. The open tracheostomy technique in paediatric patients differs from that done in adults. In paediatric patients a formal stoma is created by suturing the tracheal wall to the skin with maturation sutures in addition to safety stay sutures placed in the tracheal wall.
Indications:
•Upper airway obstruction due to con-genital or acquired causes
•Patients requiring long-term ventilation
•Failure to wean from conventional orotracheal or nasotracheal ventilation (eliminates dead space)
•Pulmonary toilet
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Reference:
Ismail-Koch, H. & Jonas, N. 2025. Paediatric Tracheostomy. In Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 10. http://hdl.handle.net/11427/43514 .