Tracheostomy reversal years after patient lost to follow-up.

Background: Pediatric tracheostomies occur for various reasons, including prologned intubation, and require a multidisciplinary approach with routine follow-up.

Case presentation: This report reviews the history and clinical outcome of a 29 year old female patient who was lost to follow-up for nearly two decades after a pediatric tracheostomy. When she presented to the Otolaryngology service as an adult the original indication for tracheostomy had resolved and decannulation was initiated, but a profound psychological dependence had developed.

Conclusion: This case outlines the importance of regular follow-up for tracheostomy patients, as well as health care barriers faced in remote rural communities.