Downsizing and upsizing trachs

[Kaylie]

Hi,
We had a ENT appointment the other day ear check and so on, thru our visit we discussed another bronch as well as other issues so whatever needs to be done while sedated and in the operating room we could get done, blood work, tracheal ring,stenosis ears looked at ( because kaylies canals are extremely small it makes it difficult to see in her ears, especially when there is wax build up) She also needs that flap under her tongue cut, because we were told it can affect her ability for speech.So the plans is to see her airway status, if we have the right size trach for her needs, she has had the same size since she was trached.it may need upsized .remove any gramulomas, and just the works.My biggest concern is going up in trach size would seem to put us further away from decan, of course i understand if she needs it upsized, but i know that there are many opinions about this.Can anyone tell me about what your DR, have told you in regards to sizes of trachs and why ? is it because of the certain medical condition, the airway status, the size of the child? we have heard conflicting info.thanks