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On 20th October, Charlottka underwent surgery (removal of granulomas again) + tracheal surgery. The operation went excellently. In the evening, decannulation was carried out successfully thereafter. Charlottka is managing to breathe beautifully on her own without any support. However, in the event of illness or fatigue, we have non-invasive support available through a mask with positive pressure ventilation (Artificial Pulmonary Ventilation). Additionally, we have a coughing device where we have a rehabilitation regimen focused on practicing breathing solely through the nose. We have been working on all of this for some time.