Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-25T16:51:28.371Z Has data issue: false hasContentIssue false
  • English
  • Français

Tracheostomy—The horizontal tracheal incision

Published online by Cambridge University Press:  29 June 2007

I. Kato ,
K. Uesugi ,
M. Kikuchihara ,
H. Iwasawa ,
J. Iida ,
K. Tsutsumi ,
H. Iwatake  and
I. Takeyama
I. Kato*
Affiliation:
(Kawasaki, Japan)
K. Uesugi
Affiliation:
(Kawasaki, Japan)
M. Kikuchihara
Affiliation:
(Kawasaki, Japan)
H. Iwasawa
Affiliation:
(Kawasaki, Japan)
J. Iida
Affiliation:
(Kawasaki, Japan)
K. Tsutsumi
Affiliation:
(Kawasaki, Japan)
H. Iwatake
Affiliation:
(Kawasaki, Japan)
I. Takeyama
Affiliation:
(Kawasaki, Japan)
*
Dr. I. Kato, Department of Otolaryngology, St. Marianna University School of Medicine, Miyamae, Sugao 2-16-1, 213 Kawasaki, Kanagawa, Japan
Get access Rights & Permissions [Opens in a new window]

Abstract

The complication rate after emergency tracheostomy is two to five times greater than after elective procedures. One of the main causes of the high risk of complications in emergency tracheostomy appears to be the amount of time required to open the trachea. Therefore, simple and fast procedures are mandatory. We have developed a new procedure as follows: A horizontal skin incision is performed. Strap muscles are dissected and retracted laterally. A transverse cut between tracheal rings below the thyroid isthmus is performed up to membranous portion of the trachea. The cut ends of the trachea remain open naturally because of the elasticity of the trachea. Skin and tracheal cut-ends are then joined by interrupted sutures.

We have used this procedure during the past three years and have not experienced any major complications. This demonstrates the clear advantage and the more physiological nature of the procedure over various other incisions of the tracheal wall.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 4 , April 1990 , pp. 322 - 325
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Paper presented by Dr. K. Uesugi at the 6th World Congress of Bronchoesophagology in Tokyo 15-18 October 1989.

References

Andrews, M. J., Pearson, F. G. (1971) Incidence and pathogenesis of tracheal injury following cuffed tube tracheostomy with assisted ventilation: Analysis of a two-year prospective study. Annals of Surgery, 173: 249–263.Google Scholar
Davis, H. S., Kretchmer, H. E. (1953) Advantages and complications of tracheotomy. Journal of American Medical Association, 153: 1156–1159.Google Scholar
Eiseman, B., Spencer, F. C. (1963) Tracheostomy: An underrated surgical procedure. Journal of American Medical Association, 184: 684–687.CrossRefGoogle Scholar
Eliacher, I., Goldsher, M., Joachims, H. Z. (1981) Superiorly based tracheostomal flap to counteract treacheal stenosis: Experimental study. Laryngoscope, 91: 976–981.Google Scholar
Harley, HR. S. (1971) Laryngotracheal obstruction complicating tracheostomy or endotracheal intubation with assisted respiration. Thorax, 26: 493–533.Google Scholar
Hughes, M., Kirchner, J. A., Branson, R. J. (1971) A skinlined tube as a complication of tracheostomy. Archives of Otolaryngology, 94: 568–570.Google Scholar
Lulenski, G. C., Batsakis, J. G. (1979) Management of the flap tracheostomy. Archives of Otolaryngology, 105: 260–263.Google Scholar
Paloschi, G., Lynn, R. B. (1965) Observations upon elective and emergency tracheostomy. Surgery, Gynecology and Obstetrics, 120: 356–358.Google Scholar
Potondi, A. (1969) Pathomechanism of hemorrahages following treachotomy. Journl of Laryngology and Otology, 83: 475–484.Google Scholar
Rogers, L. A. (1969) Complications of tracheostomy. Southern Medical Journal, 62: 1496–1500.Google Scholar
Sasaki, C. T., Horiuchi, M., Koss, N. (1979) Tracheostomy-related subglottic stenosis: Bacteriologic pathogenesis. Laryngoscope, 89: 857–865.Google Scholar
Stiles, P. J. (1965) Tracheal lesions after tracheostomy. Thorax, 20: 517–522.Google Scholar