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Tracheotomy (/ ˌtreɪkiˈɒtəmi /, UK also / ˌtræki -/), or tracheostomy, is a surgical airway management procedure which consists of making an incision (cut) on the anterior aspect (front) of the neck and opening a direct airway through an incision in the trachea (windpipe).
Injuries can occur when the neck is damaged and put under stress. Injuries can also occur in a rear-end collision that results in a whiplash-like injury or when the larynx is intentionally targeted for harm. The larynx is susceptible to damage in penetrating neck injuries.
24 Ιουλ 2023 · Cricoid cartilage - a palpable landmark to identify the junction of the larynx and trachea. The skin incision is typically placed 1 to 2 cm inferior to the cricoid. Sternal notch - a palpable landmark to identify the thoracic inlet.
tracheotomy, a procedure in which an incision is made through the front of the neck into the trachea to allow placement of a breathing tube. The purpose of a tracheotomy is to promote respiration by bypassing an obstruction in the upper airway or by addressing a poorly functioning trachea.
In this article, tracheal anatomy is reviewed and points critical to the thoracic surgeon are highlighted. The structure and location of the trachea, the blood supply to the trachea, and the trachea’s spatial relationship to critical mediastinal organs are presented.
Because the typical landmarks for tracheotomy may be difficult to identify because of the small size of the larynx and cricoid, tracheotomy in the emergent setting is best done with a secured airway, either by intubation or rigid bronchoscopy. A vertical incision is made over the midline of the neck, its superior extent at the cricoid cartilage.
The windpipe (trachea) is a tube of 12 cm length connecting the larynx to the principal bronchi that lead to the lungs. The main functions of the trachea comprise air flow into the lungs, mucociliary clearance, and humidification and warming of air.
