“…Overall TRA/CTRA success rates (usually defined as a patent airway without respiratory distress during daily life) have been reported to range from 86% to 100%, 1-3,7-13,21-24 with a mortality rate between 0% and 3%. 14,15,21,22,24 Overall, good outcomes after TRA/ CTRA are also confirmed by the present series, where the decannulation rate of the entire cohort was 98%, with perioperative mortality less than 1%. However, potentially invalidating perioperative complications continue to hamper such major surgical procedures and significant efforts in preventing and treating them seem largely justified.…”