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Related Concept Videos

Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
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:
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...
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 Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...

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Related Experiment Video

Updated: May 17, 2026

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
07:30

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

Published on: October 13, 2017

Opening the stenosed nostrill: How I do it.

D A Tandon1

  • 1Otolaryngology and Head & Neck Surgerj, All India Institute of Medical Sciences, 110 029 New Delhi.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed
Summary
This summary is machine-generated.

A novel z-plasty technique using a cheek flap effectively treated acquired anterior nasal stenosis in three patients. This single-stage procedure avoids prolonged nasal stenting and results in minimal scarring.

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Nasal Reconstruction

Background:

  • Acquired anterior nasal stenosis presents a significant clinical challenge.
  • Previous treatments often require prolonged nasal stenting, leading to patient discomfort and potential complications.

Purpose of the Study:

  • To evaluate the efficacy of a z-plasty technique with a cheek flap for single-stage correction of acquired anterior nasal stenosis.
  • To assess the need for prolonged stenting and the cosmetic outcome of the procedure.

Main Methods:

  • A retrospective review of three patients who underwent z-plasty using a cheek flap for acquired anterior nasal stenosis.
  • Surgical technique involved a one-stage z-plasty reconstruction of the stenosed nostril.

Main Results:

  • Successful one-stage opening of the stenosed nares was achieved in all three cases.
  • Prolonged nasal stenting was not required postoperatively.
  • Patients exhibited only unobtrusive scarring at the surgical site.

Conclusions:

  • Z-plasty utilizing a cheek flap is an effective and efficient method for correcting acquired anterior nasal stenosis.
  • This technique eliminates the need for prolonged stenting, improving patient outcomes.
  • The procedure offers a favorable cosmetic result with minimal scarring.