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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Larynx01:21

Larynx

The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...

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Related Experiment Video

Updated: Jul 20, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
05:25

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy

Published on: October 24, 2025

[Recurrent laryngeal nerve decompression].

Wei Xu1, Hai-bo Wang, Hong-yuan Cao

  • 1Department of Otorhinolaryngology Head and Neck Surgery, Shandong Provincial Hospital, Shandong University, Jinan 250021, China.

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|August 25, 2006
PubMed
Summary

Early exploration and decompression of the recurrent laryngeal nerve after thyroid surgery can restore vocal cord function. Prompt intervention is crucial for patients experiencing hoarseness or nerve paralysis due to thyroid conditions.

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Endocrinology

Context:

  • Thyroid surgery and benign thyroid tumors can lead to recurrent laryngeal nerve (RLN) functional disturbance.
  • Unilateral RLN paralysis and glottic insufficiency are potential complications requiring effective treatment.

Purpose:

  • To evaluate the outcomes of recurrent laryngeal nerve decompression for functional disturbances caused by thyroid surgery or benign thyroid tumors.
  • To assess the efficacy of early surgical intervention in restoring vocal cord mobility and function.

Summary:

  • Recurrent laryngeal nerve decompression was performed on 13 patients (9 with paralysis, 4 with glottic insufficiency).
  • For RLN paralysis post-thyroid surgery, 6 of 7 patients regained vocal cord mobility within 3 months after decompression.
  • Glottic closure improved within 1 week in all 4 patients with glottic insufficiency.

Impact:

  • Timely exploration and decompression of the RLN are vital for functional recovery after thyroid surgery.
  • Combined nerve decompression and type I thyroplasty may be beneficial for severe hoarseness.
  • Early surgical intervention is imperative for RLN functional disturbances associated with thyroid neoplasms.