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Related Concept Videos

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Tracheostomy Decannulation01:21

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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.
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Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
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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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Related Experiment Video

Updated: Jan 23, 2026

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

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Obstructive sleep apnoea as a late complication after tracheostomy.

D Đanić1, N Mrzljak Vučinić2, A Đanić Hadžibegović1,3

  • 1Faculty of dental medicine and health care, Josip Juraj Strossmayer University of Osijek, Croatia.

The Journal of Laryngology and Otology
|June 15, 2019
PubMed
Summary

Severe obstructive sleep apnea can result from cervical trachea collapse after tracheostomy. Drug-induced sleep endoscopy is crucial for diagnosing this rare condition and guiding treatment, including surgery or CPAP therapy.

Keywords:
EndoscopySleep Apnea SyndromesTracheal Stenosis

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Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Respiratory Medicine

Background:

  • Obstructive sleep apnea (OSA) is caused by upper airway obstruction, typically diagnosed using drug-induced sleep endoscopy (DISE).
  • Collapse of the cervical trachea following tracheostomy as a cause of sleep-disordered breathing has not been previously documented.

Observation:

  • This report details two patients with severe OSA.
  • Pre-operative DISE revealed upper airway and cervical trachea collapse at the prior tracheostomy site in both patients.

Findings:

  • One patient underwent successful surgical treatment, including tongue base resection and tracheal reconstruction.
  • The other patient, with significant comorbidities, was managed with continuous positive airway pressure (CPAP) therapy.

Implications:

  • DISE is essential for visualizing structures below the vocal folds in patients with a history of cervical trachea surgery.
  • These cases highlight the critical role of DISE in planning effective conservative and surgical interventions for complex OSA cases.