Aaron's Tracheostomy Page

Reasons for a Tracheostomy

Airway Problems That May Require a Tracheostomy

• Tumors, such as Cystic Hygroma
• Laryngectomy
• Infection, such as Epiglottitis or Croup
• Subglottic Stenosis
  
• Subglottic Web
• Tracheomalacia
• Vocal Cord Paralysis (VCP)
• Laryngeal injury or spasms
• Congenital abnormalities of the airway
• Large tongue or small jaw that blocks airway
• Treacher Collins and Pierre Robin Syndromes
• Severe neck or mouth injuries
• Airway burns from inhalation of corrosive material, smoke or steam
• Obstructive sleep apnea
• Foreign body obstruction

Lung Problems That May Require a Tracheostomy

• Need for prolonged respiratory support, such as Bronchopulmonary Dysplasia (BPD)
• Chronic pulmonary disease to reduce anatomic dead space
• Chest wall injury
• Diaphragm dysfunction

Other Reasons for a Tracheostomy

• Neuromuscular diseases paralyzing or weakening chest muscles and diaphragm
• Aspiration related to muscle or sensory problems in the throat
• Fracture of cervical vertebrae with spinal cord injury
• Long-term unconsciousness or coma
• Disorders of respiratory control such as Congenital Central Hypoventilation or Central Apnea
• Facial surgery and facial burns
• Anaphylaxis (severe allergic reaction)