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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

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.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
Tracheostomy Suctioning II: Procedure01:23

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...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Bilateral Bronchus Suis Tracheoplasty.

Michael E Mitchell1, Margaret Ann Butler2

  • 1Children's Wisconsin, Department of Surgery, Division of Pediatric Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
|May 6, 2026
PubMed
Summary
This summary is machine-generated.

Complex tracheal anomalies require surgical repair. Novel slide tracheoplasty variations, including side-to-side bronchus suis tracheoplasty, effectively stabilize airways in neonates with severe stenosis.

Keywords:
Christmas-tree tracheaanterior posterior Y-to-Y tracheobroncoplastybilateral side-to-side tracheobronchoplastybronchus suisside-to-side tracheobronchoplastytracheobronchial stenosis

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Published on: January 20, 2010

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Anomalies

Background:

  • Complex tracheal anomalies present significant challenges in neonatal airway management.
  • Slide tracheoplasty using autologous tissue is the standard for tracheal reconstruction.
  • Existing techniques may be insufficient for highly complex or extensive anomalies.

Purpose of the Study:

  • To describe innovative variations of slide tracheoplasty for complex neonatal tracheal anomalies.
  • To evaluate the efficacy of modified techniques in establishing stable airways.
  • To assess the preservation of growth potential following surgical intervention.

Main Methods:

  • Retrospective review of 9 patients with complex tracheal anomalies requiring modified slide tracheoplasty.
  • Application of side-to-side bronchus suis tracheoplasty for long-segment tracheobronchial stenosis with bronchus suis.
  • Utilization of bilateral side-to-side and anterior-posterior bilateral bronchus suis tracheoplasty for more complex anatomies.

Main Results:

  • Successful airway stabilization was achieved in all 9 patients using modified techniques.
  • Side-to-side bronchus suis tracheoplasty effectively addressed long-segment stenosis with reduced tension.
  • Bilateral techniques provided stable airways and preserved growth potential in complex cases.

Conclusions:

  • Modified slide tracheoplasty techniques, including various bronchus suis reconstructions, offer effective solutions for complex neonatal tracheal anomalies.
  • These all-autologous reconstructions provide stable airways while accommodating growth.
  • Management remains challenging due to combined cardiac and tracheal complexities.