PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 8944871

High tracheostomy and other errors--revisited.

J D Bennett
View original source ↗Export metadata ↓

Abstract

Timely cricothyrotomy may be life-saving, but it is not without its complications. Together with tracheostomy performed too high, there are high incidences of stenosis and voice changes afterwards-often neglected because the patient has so many other problems. Jackson warned of these problems over 70 years ago-his message is still relevant.

Explore related subjects

Cricoid CartilageEmergenciesHumansLaryngostenosisPostoperative PeriodThyroid CartilageTracheostomyVoice DisordersJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

J D Bennett. 1996. High tracheostomy and other errors--revisited.. https://doi.org/10.1017/s0022215100135625

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

[Transcutaneous identification of cricotracheal and tracheal stenosis].

BACKGROUND: In the reconstruction of laryngotracheal stenosis, the exact localization of the level of the stenosis in relation to the cricoid arch is of paramount importance. This report describes an easy, fast and reliable technique for projecting stenotic segments of the subglottic trachea onto the tracheal front wall. MATERIAL AND METHOD: Directly before the reconstructive procedure, the stenosis is visualized using microlaryngoscopy. An endo-extralaryngeal needle-carrier is used to drive a suture from the inside through the skin. This takes the surgeon directly to the anterior tracheal wall at the exact level of the upper margin of the stenotic segment. RESULTS: This technique has been used in 15 cases, allowing the correct identification of the stenosis in every case. Subjectively, there was a gain of time as well as of the surgeon's confidence in this critical part of the procedure. The transcutaneous identification of a laryngotracheal stenosis using the Lichtenberger endo-extralaryngeal suture technique requires a minimum of additional time. We recommend this technique for routine use whenever an open approach for airway reconstruction of the subglottic larynx or proximal trachea is to be performed.

Cricoid Cartilage↗