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Avoiding problems in tracheotomy
Author(s) -
Kirchner John A.
Publication year - 1986
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198601000-00009
Subject(s) - tracheotomy , medicine , surgery , dissection (medical) , subcutaneous emphysema , fibrous joint , anesthesia , complication
The surgeon can minimize postoperative problems that may develop after tracheotomy by 1. ligating the veins that cross the midline (over‐dependence on cautery often results in postoperative bleeding); 2. dividing and suture‐ligating the thyroid isthmus; 3. avoiding sharp dissection or blind clamping at the sternal notch; 4. leaving the deep layers of the wound open, to avoid subcutaneous or mediastinal emphysema; 5. avoiding a low horizontal skin incision; and 6. using guide sutures at tracheal opening in the infant.