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Related Concept Videos

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:
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Tracheostomy Care II: Procedure01:25

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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...
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Updated: Jun 9, 2025

Intraoperative Assessment of Resection Margins in Oral Cavity Cancer: This is the Way
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Laryngectomy Margin Assessment: A Little Help From a Template.

Daniel J Zaccarini1, Lester D R Thompson2

  • 1Department of Pathology, State University of New York (SUNY) Upstate Medical University, Syracuse, NY.

Advances in Anatomic Pathology
|November 1, 2024
PubMed
Summary

Standardizing laryngectomy specimen assessment improves patient care and research. A uniform approach ensures all critical mucosal and tracheal margins are evaluated for better outcomes.

Keywords:
laryngectomy templatemargin assessmentuniform approach

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Area of Science:

  • Pathology
  • Surgical Oncology

Background:

  • Laryngectomy margin assessment is crucial for patient outcomes.
  • Current grossing guidelines for laryngectomy specimens lack standardization.
  • Variations in assessment protocols may impact patient care and research.

Purpose of the Study:

  • To propose a uniform approach for laryngectomy margin assessment.
  • To provide a guideline for consistent grossing of laryngectomy specimens.
  • To enhance patient care and facilitate future research through standardized protocols.

Main Methods:

  • Review of existing guidelines and best practices for surgical specimen grossing.
  • Identification of critical mucosal margins (arytenoid, hypopharyngeal, anterior epiglottis) and tracheal margin.
  • Consideration for soft tissue margin sampling based on tumor extent and tracheostomy presence.

Main Results:

  • A comprehensive template for laryngectomy margin assessment is presented.
  • Recommendations include mandatory sampling of all mucosal and tracheal margins.
  • Specific guidance is provided for sampling soft tissue and stoma margins when applicable.

Conclusions:

  • A standardized approach to laryngectomy margin assessment is essential.
  • Implementing the proposed template can improve consistency and quality of pathological evaluation.
  • Standardization will benefit both clinical patient management and scientific investigation in laryngeal cancer.