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Tracheostomy: Procedure and Tubes

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.
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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...

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Related Experiment Video

Updated: Jun 30, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited

The Microscopic Transcanal Approach in Stapes Surgery Revisited

Published on: February 16, 2022

Transcanal antrotomy.

¹Department of Otolaryngology-Head and Neck Surgery, Marshfield Clinic, Marshfield, Wisconsin 54449, USA. holt.james@marshfieldclinic.org

The Laryngoscope

|September 27, 2008

Summary

This summary is machine-generated.

Transcanal antrotomy offers a safe, minimally-invasive method for removing middle ear and antrum disease. This technique provides excellent exposure and avoids costly, multi-stage procedures.

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Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

Published on: December 15, 2023

Area of Science:

Otolaryngology
Surgical Techniques
Middle Ear Surgery

Background:

Middle ear and antrum disease removal often requires invasive surgical approaches.
Minimally invasive techniques are sought to improve patient outcomes and reduce healthcare costs.

Purpose of the Study:

To describe a transcanal antrotomy technique.
To highlight its advantages for disease removal in the tympanum and antrum.

Main Methods:

Retrospective review of 47 patients undergoing transcanal antrotomy.
Exclusion of cases requiring mastoid intervention via postauricular approach.
Data collection included demographics, pathology, surgical and audiometric variables.

Main Results:

Transcanal antrotomy was performed on 47 patients with no major postoperative complications.
85% of cases achieved an air-bone gap closure within 20 dB.
No recurrent disease was observed in the antrum during an average follow-up of 922 days.

Conclusions:

Transcanal antrotomy is a safe and effective minimally-invasive approach for tympanum and antrum disease.
It offers superior antrum exposure compared to postauricular and endaural methods.
This technique can prevent the need for second-stage surgeries, reducing costs and improving quality of life.