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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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

Tracheostomy Care I: Pre-procedural Steps

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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:
136

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Updated: Jun 10, 2025

Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
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Outcomes in paediatric patients undergoing stapedotomy.

David Lehmann1, Ewen Chao1, Robert Saadi2

  • 1Stony Brook University Hospital, New York, USA.

The Journal of Laryngology and Otology
|October 21, 2024
PubMed
Summary

Paediatric stapedotomy surgery is effective for improving hearing in children. Higher body mass index in children may predict better post-operative hearing outcomes.

Keywords:
audiologyhearing lossmiddle ear surgeryotologyotosclerosis

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Area of Science:

  • Otolaryngology
  • Pediatric Otology
  • Hearing Restoration Surgery

Background:

  • Stapes surgery, or stapedotomy, is a common procedure for hearing loss.
  • Outcomes in pediatric patients are less documented than in adults.

Purpose of the Study:

  • To evaluate the outcomes of stapedotomy in patients under 21 years old.
  • To identify factors influencing surgical success in pediatric stapes surgery.

Main Methods:

  • Retrospective review of electronic medical records.
  • Analysis of patients younger than 21 who underwent stapedotomy between 2013 and 2020.
  • Assessment of pre- and post-operative air-bone gap measurements.

Main Results:

  • 17 pediatric patients (20 ears) underwent stapedotomy.
  • Mean air-bone gap improved from 34.5 dB to 20.6 dB (17 dB average improvement).
  • 64% of patients achieved an air-bone gap of 20 dB or less.
  • A negative correlation was found between pre-operative BMI and post-operative air-bone gap (p=0.03).

Conclusions:

  • Pediatric stapedotomy is a safe and effective procedure for hearing improvement.
  • Age did not correlate with hearing improvement.
  • Pre-operative body mass index is a significant predictor of post-operative air-bone gap in pediatric patients.