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Updated: Jul 16, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
Self-retaining T-incision for difficult tracheotomy
D Cohen1, Y Gurvitz, P Friedman
1Shaare Zedek Medical Center Jerusalem and Ben Gurion University of the Negev, Jerusalem, Israel.
Problem:
To overcome difficulties in complicated tracheotomies through the use of a T-incision.
Study Design:
Retrospective.
Methods:
A T-shaped incision allows the wound edges to retract aside spontaneously, without the use of retractors. Four hundred and twelve patients were retrospectively evaluated; 203 received traditional tracheotomy incisions and 209 received a T-incision.
Results:
Complication rates were similar for the two groups: 3 per cent in the traditional incision group and 4 per cent in the T-incision group (difference non-significant).
Conclusions:
The T-incision enables good control of bleeding and better exposure of the trachea. This incision was developed for use in difficult cases, such as patients with a short or thick neck, and complicated needle dilatation procedures. The T-incision is quick and suitable for a solo surgeon. Its cosmetic results are acceptable, and it has the same low complication rate as traditional incisions.
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