Falla PI, et al. - In this retrospective chart review involving 106 pediatric patients, aged 0 to 18 years, experts aspired to explore if there were variations in decannulation rates and time to decannulation in children depending on the indication for tracheostomy, age, and maturity at birth. They reviewed the records of pediatric patients tracheostomized between January 1, 1999, and January 1, 2019. Depending on the indication for tracheostomy, study participants were divided into three different groups: unsafe airway, long-term respiratory dependence, or bronchopulmonary toilet for aspirations. Forty patients were successfully decannulated. Data reported that the time-dependent rate of decannulation after 2 and 5 years was 28.3% and 40.5% for patients with an unsafe airway, 42.4% and 66.8% for patients with long-term respiratory dependence, and 41.7% and 70.8% for patients needing bronchopulmonary toilet. An unsafe airway, a young age at the time of tracheostomy, and prematurity at birth are factors indicating issues with decannulation.