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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
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...
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...

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Related Experiment Video

Updated: Jul 9, 2026

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
09:57

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

Tracheo-carinal reconstructions using extrathoracic muscle flaps.

Hans-Beat Ris1, Thorsten Krueger, Cai Cheng

  • 1Division of Thoracic and Vascular Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. hans-beat.ris@chuv.ch

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|December 7, 2007
PubMed
Summary
This summary is machine-generated.

Pedicled extrathoracic muscle flaps effectively reconstruct tracheo-carinal airway defects after non-circumferential resections and carinal resections. This technique aids in alleviating anastomotic tension, ensuring stable and epithelialized airways in surviving patients.

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Porcine As a Training Module for Head and Neck Microvascular Reconstruction
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Porcine As a Training Module for Head and Neck Microvascular Reconstruction

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Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
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07:43

Porcine As a Training Module for Head and Neck Microvascular Reconstruction

Published on: September 29, 2018

Area of Science:

  • Thoracic Surgery
  • Surgical Reconstruction
  • Airway Management

Background:

  • Tracheo-carinal airway defects pose significant reconstructive challenges.
  • Non-circumferential resections and carinal resections necessitate innovative closure techniques.
  • Alleviating anastomotic tension is crucial for successful airway reconstruction.

Purpose of the Study:

  • To prospectively evaluate the efficacy of pedicled extrathoracic muscle flaps in tracheo-carinal airway reconstruction.
  • To assess the use of these flaps for closing defects after non-circumferential resections.
  • To determine the role of muscle flaps in alleviating anastomotic tension during carinal resections.

Main Methods:

  • Prospective evaluation of 41 patients undergoing tracheo-carinal reconstruction with 45 extrathoracic muscle flaps (latissimus dorsi, serratus anterior, pectoralis major).
  • Flaps were used to close defects from bronchopleural fistulas, partial carinal resections, partial tracheal resections, and carinal resections with muscle patching.
  • Follow-up included clinical examination, bronchoscopy, pulmonary function testing, and CT scans, with a minimum follow-up of 6 months.

Main Results:

  • Ninety-day mortality was 7.3%.
  • Muscle flap necrosis occurred in 9.7% of patients, managed successfully without mortality or further airway complications.
  • Airway dehiscence (2.4%) and stenosis (2.6%) were observed and effectively treated, with all surviving patients achieving stable, epithelialized airways.

Conclusions:

  • Pedicled extrathoracic muscle flaps are a viable option for closing tracheo-carinal airway defects.
  • This technique is effective in non-circumferential resections and carinal resections, aiding in anastomotic tension relief.
  • The study demonstrates successful airway healing and stability using muscle flap reconstruction.