Significant subglottic stenosis may require placement of a tracheostomy tube to bypass the narrow part of the airway. The tracheostomy is generally placed to allow the child to breathe, feed, and grow until they become healthy and stable enough for further surgical interventions to then allow the tracheostomy eventually to be removed. Pediatric airway reconstruction in the form of either laryngotracheal reconstruction or cricotracheal resections is designed to rebuild the airways and to allow the tracheostomies to be eventually removed (see pictures and videos). For a child without major heart, lung, or other medical issues, airway reconstruction has approximately a 90-95% success in allowing the tracheostomy tube eventually to be removed.
Subglottic Stenosis: The above photograph is from an endoscopic exam of a child with subglottic stenosis.
Tracheal Stenosis: The above photograph is from an endoscopic exam of a child with tracheal stenosis.
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