Diagnosing tracheostomy allergy: Improving airway outcomes in pediatric patients with an active larynx

Tracheostomy allergy should be considered in children with idiopathic active larynx or peristomal inflammation that is not responding to typical measures. Allergy testing is low-risk and a relatively simple intervention which has the potential to demonstrate an intervenable cause of inflammation. Airway inflammation is often multifactorial and future studies require additional investigation regarding the pathophysiology and improvement of the management of the active larynx.