BACKGROUND Although the standard tracheostomy described in 1909 by Jackson has been extensively used in critical patients, a more simple procedure that can be performed at the bedside is needed. Since 1957 several different types of percutaneous tracheostomy technique have been described. The purpose of the present study was to compare two bedside percutaneous tracheostomy techniques: percutane...

OBJECTIVES (1) To describe outcomes from and modifications to the hybrid laryngotracheal reconstruction (LTR) technique and (2) to compare this technique to traditional single- and double-stage LTR (ssLTR/dsLTR). STUDY DESIGN Chart review with case series. SETTING Tertiary care otolaryngology specialty hospital. SUBJECTS All patients under 18 years of age who underwent LTR by a single sur...

OBJECTIVES To describe a technique for surgical removal of recurrent respiratory papilloma in the distal trachea in patients with an indwelling tracheostomy tube. METHODS A transoral trans-stomal technique for removal of distal tracheal papilloma using a modified ventilating bronchoscope setup and a microdebrider with a rotatable Skimmer blade (XOMED Products, Jacksonville, Florida, USA). R...

Introduction Placement of a tracheostomy tube percutaneously is not a new idea; pictures of devices that appear to have been developed for this purpose date back to the Rigveda.1 A modern percutaneous tracheostomy (PCT) device was developed by Toye and Weinstein in 1969, and its use in 100 trauma patients was reported in 1986.2,3 The wireguided technique for percutaneous tracheostomy was develo...

Tracheostomy is a common procedure in ICU, particularly as an approach for weaning from mechanical ventilation. In mid-1980s percutaneous tracheostomy (PCT) was introduced as a less invasive alternative for the standard surgical tracheostomy. A tracheostomy facilitates weaning from mechanical ventilation, in long-term ventilated patients, by improving airway cleaning, better patient comfort and...

BACKGROUND Tracheostomy has long been implemented as means of a surgical airway in patients with upper airway obstruction and patients requiring long-term mechanical ventilation support. Temporally, surgical tracheostomy may be performed in an emergent fashion, as in the “slash” tracheostomy, but also as an elective procedure, commonly in patients undergoing resection of the mandible, floor of ...