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Wednesday, May 22, 2013
Question: 11 years girl,before two years in 2008, she had an opreation relating to the to respirotary problem and had tracheostomy tube in neck,she could not walk. but after 2years the tracheostomy is still continue. please help us how we can remove that. give us some suggession.
Removal of a tracheostomy tube can be done if the original problems that made it necessary in the first place have resolved, and any new problems (like development of scarring inside the windpipe) have been detected and corrected.
If your child is still receiving care by the physicians who recommended the tracheostomy in the first place, I would recommend that you talk to them regarding whether and why they think it is still needed.
If your child no longer sees those doctors, the next step is to have her evaluated by both a pediatric pulmonologist and an ENT (Ear, nose and throat specialist) who has special experience with children with tracheostomies. They can review her current breathing status, and help guide you regarding whether it would be safe to start taking steps towards removing the tracheostomy.
Elizabeth D Allen, MD
Clinical Associate Professor of Pediatrics
College of Medicine
The Ohio State University