extubation after laryngotracheal reconstruction in children may be
complicated by postoperative tracheal edema and pulmonary dysfunction.
The replacement of a tracheal tube in this situation may exacerbate the
existing injury to the tracheal mucosa, complicating subsequent
attempts at tracheal extubation. We present two cases where noninvasive
positive-pressure ventilation was employed to treat partial airway
obstruction and respiratory failure in two children following
laryngotracheal reconstruction. Noninvasive positive-pressure
ventilation served as a bridge between mechanical ventilation via a
tracheal tube and spontaneous breathing, providing airway stenting and
ventilatory support while tracheal edema and pulmonary dysfunction were
resolved. Under appropriate conditions, noninvasive positive-pressure
ventilation may be useful in the management of these patients.