*6.2.1 Tracheostomy*

Tracheostomy may not always be required. However, in cases presenting with stridor immediate establishment of an alternate airway by tracheostomy is the earliest and safest procedure that can be performed. Tracheostomy provides a secured airway following which a specific management approach can be planned. Following tracheostomy, the tracheostomy tube care also poses a challenge as it is not uncommon for neonatal tracheostomy tube to get easily blocked with tracheal secretions. It is an ideal approach to wait until the child is 2 years old before embarking on other surgical procedures as it will allow a time period for spontaneous recovery.
