It depends on whether baby can swallow safely or not. I am currently
working with a baby with a trach. His was put in prophylactically before
he had chemical therapy to destroy abnormal veins in his tongue. The
chemicals cause tremendous tongue swelling.
One vocal cord-related reason for a tracheostomy would be if the cords
are paralyzed closed. This would prevent breathing, but swallowing would
be safe! Ask lots of questions, and then perhaps we can all be of more help.
Catherine Watson Genna, BS, IBCLC NYC
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