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Related Concept Videos

Trachea01:22

Trachea

4.7K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

1.2K
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...
1.2K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

3.0K
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...
3.0K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

5.6K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
5.6K
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

2.1K
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...
2.1K

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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Debulking obstructing laryngeal cancers to avoid tracheotomy.

Fatih Gul1, Yagmur Canan Teleke1, Gokhan Yalciner2

  • 1Yıldırım Beyazıt University School of Medicine, Department of Otorhinolaryngology, Head and Neck Surgery, Ankara, Turkey.

Brazilian Journal of Otorhinolaryngology
|September 22, 2019
PubMed
Summary

Tumor debulking effectively manages airway obstruction in advanced larynx cancer, offering a safe alternative to tracheotomy and reducing risks of tumor recurrence.

Keywords:
Airway obstructionDebulking surgical proceduresLaryngeal neoplasms

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Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Oncology

Background:

  • Advanced larynx cancer can cause airway obstruction, traditionally managed with tracheotomy.
  • Tracheotomy carries risks, including tumor implantation and peristomal recurrence after laryngectomy.

Purpose of the Study:

  • To evaluate tumor debulking as an alternative to tracheotomy for advanced larynx cancer patients.
  • To assess the clinical experience with tumor debulking at a tertiary referral center.

Main Methods:

  • Retrospective chart review of 87 patients with advanced (T3/4) larynx cancer and airway obstruction.
  • Analyzed data on tracheotomy versus tumor debulking (laser or coblation) for airway management.
  • Noted tumor type (endophytic/exophytic) and patient outcomes.

Main Results:

  • 47.1% of patients initially underwent tracheotomy for airway patency.
  • Tumor debulking was performed in 46 patients (28 exophytic, 18 endophytic).
  • Coblation debulking showed a higher success rate (93.1%) compared to laser debulking (82.35%).

Conclusions:

  • Tumor debulking is a safe and effective strategy for managing airway obstruction in advanced larynx cancer.
  • This method can help avoid tracheotomy, thereby reducing associated complications.
  • Coblation appears to be a highly successful technique for tumor debulking.