{"doi":"10.1177/01945998221126180","title":"Virtually Assisted Personalized Tracheostomy Tube Design in Pediatric Complex Airway Anomalies","abstract":"We sought to assess the feasibility of virtually assisted personalized tracheostomy tube (vapTT) implementation for patients with congenital airway anomalies (CAAs) and persistent tracheostomy tube (TT)-related respiratory failure at a tertiary pediatric hospital. Three patients (0-18 years) with CAAs and recurrent TT-related respiratory complications were managed with vapTT over 5 years. Patients underwent airway computed tomography acquisition with 3-dimensional reconstruction and TT virtual modeling for shape customization. Models were transferred to Bivona for fabrication based on industry-standard materials and processes. Clinical information and tracheoscopies assessing position, obstruction, and granulation were reviewed. Patients demonstrated resolution of visualized TT-related obstruction, granulation, or ulceration and de-escalation of respiratory support. Clinical events requiring urgent tracheoscopy decreased in all 3 patients. Sufficient relief of critical airway obstruction allowed progression of medical care and/or discharge. VapTTs are feasible for patients with CAA. This new frontier in personalized devices may serve uniquely challenging patient populations for whom standard treatments have failed.","journal":"Otolaryngology","year":2022,"id":293285,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9625,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":950354,"name":"Clare Richardson","orcid":"0000-0002-1462-2957","position":1,"is_corresponding":false},{"id":294716,"name":"Seth D. Friedman","orcid":"0000-0001-8785-7215","position":2,"is_corresponding":false},{"id":475735,"name":"Randall A. Bly","orcid":"0000-0001-5308-527X","position":3,"is_corresponding":false},{"id":977684,"name":"Kaalan Johnson","orcid":"0000-0002-2961-6058","position":4,"is_corresponding":false},{"id":475747,"name":"John P. Dahl","orcid":"0000-0003-2728-3576","position":5,"is_corresponding":false},{"id":517165,"name":"Sanjay R. Parikh","orcid":null,"position":6,"is_corresponding":false},{"id":950356,"name":"Juliana Bonilla‐Velez","orcid":"0000-0002-7174-7609","position":7,"is_corresponding":false},{"id":977683,"name":"Sean Evans","orcid":"0000-0002-3903-2363","position":0,"is_corresponding":true}],"reference_count":4,"raw_metadata":null,"created_at":"2026-07-19T00:30:50.076284Z","pmid":"36125892","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}