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Related Concept Videos

Trachea01:22

Trachea

2.8K
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...
2.8K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

1.4K
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...
1.4K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

118
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...
118
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

410
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:
410
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

502
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...
502
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

432
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...
432

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Related Experiment Video

Updated: Sep 26, 2025

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
04:09

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Published on: September 20, 2024

434

Surgery for Thyroid Cancer Invading the Trachea.

Hidemitsu Tsutsui1, Atsumi Tamura1, Junko Ito1

  • 1Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023 Japan.

Indian Journal of Surgical Oncology
|April 25, 2022
PubMed
Summary

Thyroid cancer invading the trachea requires careful surgical planning. Radical full-thickness resection during the initial surgery offers better long-term outcomes for patients with deep tracheal invasion.

Keywords:
ShavingSleeve resectionThyroid cancerTracheal invasionWindow resection

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Respiratory Medicine

Background:

  • Thyroid cancer invasion of the trachea can be asymptomatic or present with symptoms like bloody sputum and dyspnea.
  • Diagnosing the extent of tracheal invasion from external thyroid tumors is challenging, even with bronchoscopy, due to the invasion's origin outside the airway.

Purpose of the Study:

  • To determine optimal surgical strategies for thyroid cancer invading the trachea.
  • To evaluate the oncological and functional outcomes of different surgical approaches for tracheal resection.

Main Methods:

  • Review of surgical techniques for thyroid cancer with tracheal invasion, including tracheal window resection and tracheal sleeve resection.
  • Analysis of the implications of tumor invasion depth on surgical planning and outcomes.

Main Results:

  • Invasion reaching the tracheal mucosa necessitates full-thickness resection, with options including tracheal window resection or sleeve resection.
  • Tracheal sleeve resection offers a single-stage oncologically sound approach, while window resection may require multi-stage reconstruction.
  • Incomplete resection, or 'shaving,' of deeply invasive tumors can lead to airway stenosis and difficult reoperations.

Conclusions:

  • Radical full-thickness resection in the initial surgery is crucial for improving patient prognosis and quality of life in cases of deep tracheal invasion.
  • While more demanding, primary radical resection avoids the complications of residual tumor growth and reoperation.