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Tracheostomy: Procedure and Tubes

Tracheostomy: Procedure and Tubes

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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Tracheostomy Care I: Pre-procedural Steps

Tracheostomy Care I: Pre-procedural Steps

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.
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The equipment necessary for tracheostomy care includes:

Tracheostomy Care II: Procedure

Tracheostomy Care II: Procedure

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...

Suctioning the Oropharyngeal Airway

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In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
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Suctioning the Nasopharyngeal Airway

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Tracheostomy Suctioning II: Procedure

Tracheostomy Suctioning II: Procedure

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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Updated: Jun 10, 2025

Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease

Endolymphatic Duct Blockage as a Surgical Treatment Option for Ménière's Disease

Published on: April 28, 2023

Clip Myringoplasty.

Ahmed Shehata Saleh¹, Hossam Mohamed Rabie², Ossama Mustafa Mady²

¹Otolaryngology Department, Faculty of Medicine, Banha University, Banha, Egypt.

The Annals of Otology, Rhinology, and Laryngology

|October 16, 2024

Summary

Endoscopic tympanoplasty using tragal cartilage grafts effectively repairs tympanic membrane perforations of all sizes. This minimally invasive technique offers high success rates for closure and hearing improvement, reducing hospital stays.

Keywords:

myringoplasty otitis media tympanic membrane perforation

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Area of Science:

Otolaryngology
Surgical Innovation
Regenerative Medicine

Background:

Tympanic membrane perforations often result from otitis media or trauma.
Chronic perforations necessitate grafting to prevent infections and restore hearing.
Conventional myringoplasty techniques have limitations.

Purpose of the Study:

To assess the success rate, feasibility, and efficacy of endoscopic transcanal tympanoplasty using tragal cartilage grafts with the clip technique.
To evaluate outcomes for small, medium, and large central tympanic membrane perforations.

Main Methods:

A prospective study involving 40 patients with dry, nonmarginal tympanic membrane perforations.
Endoscopic clip technique tragal cartilage type 1 tympanoplasty was performed.
Outcomes were assessed over a 6-month follow-up period.

Main Results:

100% closure rate for small perforations, 94.73% for medium, and 91.6% for large perforations at 6 months.
Significant hearing improvement of approximately 12.41 dB.
Marked improvement in the air-bone gap was observed.

Conclusions:

Endoscopic tragal cartilage graft tympanoplasty with the clip technique is a safe and effective minimally invasive procedure.
This technique offers superior results compared to conventional myringoplasty, including perforation closure and hearing gain.
Benefits include reduced morbidity, operative time, and hospital admission duration.