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Related Concept Videos

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...
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...
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...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:

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Updated: Jul 5, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
04:09

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Published on: September 20, 2024

Delayed tracheal rupture following thyroidectomy.

Edward J Damrose1, John F Damrose

  • 1Department of Otolaryngology/Head & Neck Surgery, Stanford University Medical Center, 801 Welch Road, Stanford, CA 94305, USA. edamrose@ohns.stanford.edu

Auris, Nasus, Larynx
|May 20, 2008
PubMed
Summary
This summary is machine-generated.

A rare tracheal rupture after thyroidectomy occurred in a patient with Grave's disease. Prompt surgical repair led to a full recovery, highlighting the importance of recognizing this complication.

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Last Updated: Jul 5, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
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Published on: September 20, 2024

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
05:10

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Area of Science:

  • Surgery
  • Endocrinology
  • Pulmonology

Background:

  • Thyroidectomy is a common surgical procedure with a generally low-risk profile.
  • Complications involving the trachea, such as perforation or rupture, are exceptionally rare following thyroidectomy.
  • Grave's disease is an autoimmune disorder requiring thyroid removal in some cases.

Observation:

  • A patient undergoing total thyroidectomy for Grave's disease experienced significant subcutaneous emphysema and respiratory distress on postoperative day 7.
  • Surgical exploration identified a rupture in the anterolateral wall of the trachea, near the first tracheal ring.
  • The tracheal defect was successfully repaired using primary closure.

Findings:

  • Delayed tracheal rupture is an exceedingly rare but serious complication of thyroidectomy.
  • Early diagnosis and surgical intervention are crucial for managing tracheal injuries post-thyroidectomy.
  • Primary repair of the tracheal defect resulted in an uncomplicated patient recovery.

Implications:

  • This case underscores the need for heightened clinical suspicion for tracheal injury in patients presenting with respiratory distress after thyroidectomy.
  • Understanding the risk factors and management strategies for tracheal rupture is essential for surgeons performing thyroidectomies.
  • Prompt recognition and surgical management of tracheal defects can lead to favorable patient outcomes.