Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

1.1K
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...
1.1K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

2.8K
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...
2.8K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

1.3K
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...
1.3K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

963
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:
963

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Modern methods of cartilaginous microtia reconstruction.

Current opinion in otolaryngology & head and neck surgery·2026
Same author

A three-dimensional printed laryngoscope holding helmet for continuous laryngoscopy during exercise in a pediatric exercise induced laryngeal obstruction clinic.

International journal of pediatric otorhinolaryngology·2026
Same author

Management of Cleft-Related Speech Differences.

Oral and maxillofacial surgery clinics of North America·2026
Same author

Descriptive Summary and Experience Introducing the Orthodontic Airway Plate to Treat Upper Airway Obstruction for Infants With Robin Sequence.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association·2025
Same author

Accurate 3D reconstruction of eardrum perforations using Structure from Motion photogrammetry.

International journal of pediatric otorhinolaryngology·2025
Same author

2023 aerodigestive Society meeting: A multidisciplinary literature year in review.

International journal of pediatric otorhinolaryngology·2025
Same journal

Gender-Affirming Care in Otolaryngology: A State of the Art Review.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

Caffeine Consumption and Rhinologic Symptom Severity.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

Preoperative Neutrophil-to-Lymphocyte Ratio Predicts Recurrence in HPV-Associated Oropharyngeal Cancer After Transoral Robotic Surgery.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

PEAK-II Trach: A Multi-Institutional Quality Improvement/Simulation Study Assessing Pediatric Emergency Readiness.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

Clinical Features, Treatment, and Outcomes for Oropharyngeal Adenoid Cystic Carcinoma: A Systematic Review.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same journal

Extended Reality in Otolaryngology-Head & Neck Surgery: A State-of-the-Art Review.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
See all related articles

Related Experiment Video

Updated: Jan 13, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

52.0K

Tracheocutaneous Fistula Excision With Single, Deep-Layer Closure.

Hannah F Case1, Estephania Candelo-Gomez1, Kathleen C Sie1,2

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|January 8, 2026
PubMed
Summary
This summary is machine-generated.

A new hybrid surgical technique for pediatric tracheocutaneous fistula (TCF) closure effectively heals fistulas post-tracheostomy decannulation without subcutaneous emphysema. This method offers a safe and reproducible alternative for TCF treatment.

Keywords:
surgical techniquetracheocutaneous fistulatracheocutaneous fistula closure

More Related Videos

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
09:57

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

7.6K
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

1.3K

Related Experiment Videos

Last Updated: Jan 13, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
20:33

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

52.0K
Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model
09:57

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

7.6K
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

1.3K

Area of Science:

  • Pediatric Otolaryngology
  • Surgical Innovation

Background:

  • Tracheocutaneous fistula (TCF) is a potential complication after pediatric tracheostomy decannulation.
  • Traditional closure methods, primary layered closure and secondary intention healing, have associated benefits and risks.

Purpose of the Study:

  • To describe and evaluate a novel hybrid surgical technique for TCF closure.
  • To assess the safety and efficacy of this technique in pediatric patients, specifically focusing on preventing postoperative subcutaneous emphysema.

Main Methods:

  • A retrospective review of 37 pediatric patients who underwent the hybrid TCF closure technique between 2020 and 2025.
  • The hybrid technique involves tract excision with single deep-layer closure and secondary healing of superficial tissues.

Main Results:

  • No cases of postoperative subcutaneous emphysema were observed in the 37 patients.
  • No repeat fistula closures were required.
  • Eleven patients (29.7%) underwent subsequent scar revision for cosmetic reasons.

Conclusions:

  • The described hybrid technique provides a safe, reproducible, and effective method for closing pediatric tracheocutaneous fistulas.
  • This approach successfully avoids postoperative subcutaneous emphysema, a significant risk with traditional methods.