Paediatric tracheostomy: Sheffield experience 1979-1999

J Laryngol Otol. 2002 Jul;116(7):532-5. doi: 10.1258/002221502760132403.


We have reviewed our experience of tracheostomy in children over the past 20 years at Sheffield Children's Hospital. One hundred and forty-eight tracheostomies were performed in 143 children aged one day to 13 years old (average 27 months). Sixty-five per cent of patients were < one year old. The indications for tracheostomy were upper airways' obstruction in 72 per cent, and assisted ventilation/ bronchopulmonary toilet in 28 per cent. The commonest single reason was acquired subglottic stenosis (SGS) in infants, accounting for 25 per cent of tracheostomies (36/143). The complication rate of tracheostomy was 46 per cent, most commonly granulation tissue formation. There were four deaths directly due to the tracheostomy: two accidental decannulations and two obstructions. Eighty-nine children were decannulated under our care. The average time until decannulation was 25 months.

MeSH terms

  • Adolescent
  • Age Distribution
  • Airway Obstruction / surgery
  • Child
  • Child, Preschool
  • Device Removal / adverse effects
  • England
  • Female
  • Granulation Tissue
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Respiration, Artificial
  • Retrospective Studies
  • Tracheostomy / adverse effects*
  • Tracheostomy / methods
  • Tracheostomy / statistics & numerical data
  • Treatment Outcome