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Related Concept Videos

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 Care II: Procedure01:25

Tracheostomy Care II: Procedure

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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...
317
Tracheostomy: Procedure and Tubes01:28

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.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
897
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

335
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...
335
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

430
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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Trachea01:22

Trachea

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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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Related Experiment Video

Updated: Aug 16, 2025

Learning Modern Laryngeal Surgery in a Dissection Laboratory
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Voice-sparing cricotracheal resection.

Sara Cunha1, Matthias Evermann2, Irene Pastor3

  • 1Thoracic Surgery Unit, Cardiothoracic Surgery, Centro Hospitalar e Universitário de Coimbra, Portugal.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|December 19, 2022
PubMed
Summary
This summary is machine-generated.

Treating benign subglottic stenosis is complex. A modified cricotracheal resection preserves the cricothyroid joint, avoiding voice changes and improving airway patency for long-term relief.

Keywords:
Cricotracheal resectionLaryngotracheal SurgerySubglottic stenosisTracheal stenosisTracheal resectionTracheal surgery

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Airway Reconstruction

Background:

  • Benign subglottic stenosis presents a significant clinical challenge requiring multidisciplinary management.
  • Endoscopic techniques offer temporary symptom relief but often lead to restenosis.
  • Surgical resection, particularly cricotracheal resection, is the gold standard for long-term treatment.

Discussion:

  • This video tutorial presents a modified cricotracheal resection technique for advanced subglottic stenosis.
  • The modification involves partial preservation of the cricoid arch, maintaining the cricothyroid joint.
  • Extended resection options include dorsal mucosectomy, lateral cricoplasty, or anterior laryngeal split.

Key Insights:

  • The modified technique successfully restores airway width while preserving vocal cord function.
  • Preserving the cricothyroid joint prevents the voice pitch and volume reduction common with standard resections.
  • This approach offers a viable alternative for patients with complex subglottic stenosis.

Outlook:

  • Further studies are warranted to evaluate long-term functional outcomes and patient satisfaction.
  • This modified technique may become a valuable addition to the surgical armamentarium for subglottic stenosis.
  • Investigating patient selection criteria for this modified approach will optimize its application.