A comprehensive 10-year review of decannulation and perioperative complications in pediatric open airway reconstruction

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Key Points

This review aims to evaluate perioperative morbidity, microbiologic outcomes, and decannulation success in children undergoing open airway reconstruction.
Included all children from 2014 to 2024 who underwent open airway reconstruction, totaling 44 patients.
Analyzed factors like stenosis grade, surgical techniques (laryngotracheoplasty, cricotracheal resection), and decannulation outcomes.
Performed multivariable analysis to assess associations between stenosis severity and decannulation timing.
70.5% of patients achieved decannulation, with 68.2% within 6 months.
Single-stage reconstruction led to a shorter median decannulation time (0.26 months) compared to double-stage (3.27 months) with P = .004.
Postoperative infections were exclusively observed in stented patients (29%) compared to non-stented (0%) with P = .03.

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Comprehensive review characterizes outcomes in pediatric airway reconstruction, indicating individualized strategies are needed.

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Chaushu et al. (2026) studied this question.

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