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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 Decannulation

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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

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Isthmus retraction hook for open tracheostomy: technical note.

¹Department of Cranio-Maxillofacial Plastic Surgery, Goethe-University Medical School, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany. a.kovacs@em.uni-frankfurt.de

International Journal of Oral and Maxillofacial Surgery

|June 16, 2009

Summary

A novel isthmus retraction hook preserves the thyroid isthmus during open tracheostomy. This technique was successfully used in over 350 procedures, avoiding isthmus division.

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Area of Science:

Surgical innovation
Anatomy
Thyroid gland surgery

Background:

Conventional open tracheostomy involves dividing the thyroid isthmus.
This division can lead to complications and affect thyroid function.
Alternative methods to preserve the isthmus are needed.

Purpose of the Study:

To introduce and evaluate a novel isthmus retraction hook.
To assess the feasibility of preserving the thyroid isthmus during open tracheostomy.

Main Methods:

Development of an isthmus retraction hook designed for cranial or caudal retraction.
Application of the hook during elective conventional open tracheostomy procedures.
Documentation of isthmus preservation in all cases.

Main Results:

The isthmus retraction hook was utilized in over 350 planned open tracheostomies.
The thyroid isthmus was successfully preserved in 100% of cases.
No complications related to isthmus manipulation were reported.

Conclusions:

The isthmus retraction hook is a safe and effective tool for preserving the thyroid isthmus during open tracheostomy.
This technique simplifies the procedure and potentially reduces complications.
Routine use of this hook can be considered in elective open tracheostomies.