Breathing problems are common in children with a laryngeal cleft, and some patients need additional support to breathe. Sometimes an ENT will recommend a tracheostomy to create a stable and reliable airway for the child. During this surgical procedure, an incision (stoma) is made in the front of the neck and a tube is inserted into the trachea to allow the child to breathe. This tracheostomy tube is commonly called a “trach.”

Trachs come in various sizes and styles and are held in place by special ties around the neck. A trach can be connected to a ventilator, if needed. Over time, some children are able to safely breathe without the trach and it is removed. Other children may need a trach for a long period of time or permanently. Families are taught how to safely manage and maintain the trach before their child is sent home from the hospital.