{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T16:16:54Z","timestamp":1762273014788,"version":"build-2065373602"},"reference-count":5,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000055","name":"National Institute on Deafness and Other Communication Disorders","doi-asserted-by":"publisher","award":["2T32000018"],"award-info":[{"award-number":["2T32000018"]}],"id":[{"id":"10.13039\/100000055","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009993","name":"Center for Clinical and Translational Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009993","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009992","name":"Seattle Children\u2019s Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009992","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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)\u2013related respiratory failure at a tertiary pediatric hospital. Three patients (0\u201018 years) with CAAs and recurrent TT\u2010related respiratory complications were managed with vapTT over 5 years. Patients underwent airway computed tomography acquisition with 3\u2010dimensional reconstruction and TT virtual modeling for shape customization. Models were transferred to Bivona for fabrication based on industry\u2010standard materials and processes. Clinical information and tracheoscopies assessing position, obstruction, and granulation were reviewed. Patients demonstrated resolution of visualized TT\u2010related obstruction, granulation, or ulceration and de\u2010escalation 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.<\/jats:p>","DOI":"10.1177\/01945998221126180","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T12:00:34Z","timestamp":1663675234000},"page":"893-897","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Virtually Assisted Personalized Tracheostomy Tube Design in Pediatric Complex Airway Anomalies"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3903-2363","authenticated-orcid":false,"given":"Sean S.","family":"Evans","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Emory University  Atlanta Georgia USA"},{"name":"Division of Pediatric Otolaryngology Children's Healthcare of Atlanta  Atlanta Georgia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Richardson","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children's Hospital  Seattle Washington USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Washington  Seattle Washington USA"},{"name":"Center for Clinical and Translational Research Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seth D.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Innovation Imaging and Simulation Modeling Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randall A.","family":"Bly","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children's Hospital  Seattle Washington USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Washington  Seattle Washington USA"},{"name":"Center for Clinical and Translational Research Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaalan E.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children's Hospital  Seattle Washington USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Washington  Seattle Washington USA"},{"name":"Center for Clinical and Translational Research Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John P.","family":"Dahl","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children's Hospital  Seattle Washington USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Washington  Seattle Washington USA"},{"name":"Center for Clinical and Translational Research Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay R.","family":"Parikh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children's Hospital  Seattle Washington USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Washington  Seattle Washington USA"},{"name":"Center for Clinical and Translational Research Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7174-7609","authenticated-orcid":false,"given":"Juliana","family":"Bonilla\u2010Velez","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children's Hospital  Seattle Washington USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Washington  Seattle Washington USA"},{"name":"Center for Clinical and Translational Research Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2016.03.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2017.07.063"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2016.12.18"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27831"},{"key":"e_1_2_8_6_1","unstructured":"Smiths\u2010Medical.Bivona customization services. Published2021.https:\/\/www.smiths-medical.com\/products\/tracheostomy\/silicone-tracheostomy-tubes\/customized-tracheostomy-tube-service\/bivona-customization-services"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/01945998221126180","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/01945998221126180","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/01945998221126180","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:43:11Z","timestamp":1760960591000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/01945998221126180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,20]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1177\/01945998221126180"],"URL":"https:\/\/doi.org\/10.1177\/01945998221126180","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2022,9,20]]},"assertion":[{"value":"2022-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}