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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

195
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...
195
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

645
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...
645
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

201
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...
201
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

200
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:
200
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

280
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...
280
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

585
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...
585

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Related Experiment Video

Updated: Jul 11, 2025

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
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Tracheostoma Closure Technique Using Three Local Flaps.

Reo Miura1, Kazuhiro Nakamura1, Hiroumi Matsuzaki1

  • 1Department of Otolaryngology - Head and Neck Surgery, Nihon University School of Medicine, 30-1 Oyaguchikamicho, Itabashi-Ku, Tokyo, 173-8610 Japan.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 17, 2023
PubMed
Summary

This study introduces a novel tracheostoma closure technique using hinge and cover flaps. The procedure successfully closed tracheocutaneous fistulas in all patients without causing tracheal stenosis.

Keywords:
Cover flapHinge flapPermanent tracheostomaTracheostoma closureTracheostomy

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Area of Science:

  • Surgical Innovation
  • Otolaryngology
  • Plastic Surgery

Background:

  • Tracheostoma closure is necessary when spontaneous healing fails.
  • Minimizing invasiveness and complications is crucial for successful tracheostoma closure.
  • Existing techniques require refinement for optimal outcomes.

Purpose of the Study:

  • To describe and evaluate a new tracheostoma closure technique using hinge and cover flaps.
  • To assess the efficacy and safety of this novel surgical approach.
  • To determine the closure rate and complication profile of the described method.

Main Methods:

  • A retrospective review of 23 patients undergoing tracheostoma closure between 2001 and 2019.
  • Surgical technique involves creating two hinge flaps for anterior tracheal wall reconstruction and a cover flap for skin defect closure.
  • Patients selected had failed conservative management for at least two months post-cannula removal.

Main Results:

  • The described hinge and cover flap technique achieved a 100% success rate in closing tracheocutaneous fistulas.
  • No instances of tracheal lumen stenosis were observed postoperatively.
  • The procedure effectively reconstructed the anterior tracheal wall and covered the skin defect.

Conclusions:

  • The hinge and cover flap technique is a safe and effective method for tracheostoma closure.
  • This approach is particularly useful for patients with persistent tracheocutaneous fistulas.
  • The technique offers a high closure rate with minimal complications, including no tracheal stenosis.