“
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Department of Otolaryngology and Head & Neck
Surgery,
St. James’
James’s Hospital.
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Reduce respiratory dead space
Reduce the “work” of breathing
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Reduced humidification of inspired air infections /
drying / crusting
Swallowing impaired laryngeal elevation
Assist in clearing of secretions
Psychological / Perception
Reduction in smell and taste
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Bypass upper airway obstruction
Tumours
Trauma
Infections
Post Operative swelling
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Assist in prolonged respiration / prevent
subglottic stenosis/
stenosis/ failure to extubate
Reduced dead space
No sedation required
Valuable ICU beds
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Assist with clearance of respiratory secretions
3.
Prevention of aspiration of oral and gastric
secretions
Stroke / Tumour impairment
Bilateral Vocal Cord Paralysis
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Trachea and Lower Airways
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12cm in length in adults, 16-20 cartilage rings
Thyroid - 2nd and 5th cartilage ring
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Skin incision between cricoid cartilage and suprasternal notch
Horizontal incision gives better cosmetics
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Damage may vary from traumatisation to necrosis and
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tissue. The most frequent long term damage is tracheal
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