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Tracheostomy Decannulation

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...

Tracheostomy Care I: Pre-procedural Steps

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Required Equipment
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Tracheostomy: Procedure and Tubes

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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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Tracheostomy Care II: Procedure

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Related Experiment Video

Updated: Jun 25, 2026

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation

Published on: February 29, 2020

[Post-radiation choanal stenosis].

H Haddad¹, N Sellal, Z Bourhaleb

¹Centre d'oncologie Ibn Rochd, Casablanca, Maroc. houssamhaddad@hotmail.com

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris

|February 24, 2009

Summary

This summary is machine-generated.

Choanal stenosis is a rare complication following radiation therapy for nasopharyngeal carcinoma. Endoscopic surgery effectively treats this condition, restoring nasal breathing and function.

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Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Published on: October 13, 2017

Area of Science:

Otolaryngology
Pediatric Oncology

Background:

Nasopharyngeal carcinoma (NPC) treatment often involves radiation therapy.
NPC treatment can lead to rare complications, including nasal stenosis.

Observation:

A rare case of choanal stenosis occurred in an 8-year-old boy three years post-radiation and chemotherapy for NPC.
The stenosis developed without initial nasal fossa involvement, and relapse was ruled out via clinical and histological assessment.

Findings:

Videoendoscopic surgery successfully de-obstructed the choana.
Post-surgery, the patient maintained intact nasal breathing and olfaction for nine months.

Implications:

Choanal stenosis is a rare but treatable complication of NPC radiotherapy.
Endoscopic surgery is the recommended treatment.
Biopsies are crucial to exclude tumor recurrence beyond the stenosis.