THE USE OF A LARYNGOTRACHEAL SEPARATION PROCEDURE IN PEDIATRIC-PATIENTS

The objective of this study was to review experience, outcome, and sat isfaction after a laryngotracheal separation (LTS) procedure in pediat ric patients, Chart reviews and phone questionnaires were used, Factor s reviewed included hospitalizations and infections prior to and after LTS, morbidity, and impact on quality of life. Twenty-one pediatric p atients ranging in age from 8 to 172 months underwent LTS. Follow-up t ime ranged from 1 to 49 months, Complications were minor. Eighty-eight percent of patients had fewer hospitalizations or were discharged for the first time after LTS. Number of pneumonias and suctioning frequen cy decreased, mobility increased in patients with prior tracheostomies , and care requirements decreased in 95% of patients. Parents reported satisfaction and improved quality of life. LTS is a low-risk, success ful procedure which increases quality of life and decreases morbidity in pediatric patients with irreversible upper airway dysfunction.