Tracheotomy

A Tracheotomy is the creation of an opening directly into the trachea (windpipe) in the neck for the purpose of assisting breathing. A tracheostomy is usually done for one of three reasons: (1) to bypass an obstructed upper airway; (2) to clean and remove secretions from the airway; and (3) to more easily, and usually more safely, deliver oxygen to the lungs.

The Care of Children with Long-Term Tracheostomies, Edited by Ken M. Bleile. Surgical Management of the Tracheostomy, by Steven D. Handler

A. Patient in supine position for tracheostomy.  The neck is extended on a shoulder roll.  Note position of skin incision (line).

B. Vertical incision in trachea.  Note lateral stay sutures to be used in the event of accidental decannulation.

C. Tracheostomy tube is inserted into trachea.

D. Tracheostomy tube secured with neck ties.

  1. Thyroid Cartilage
  2. Thyroid gland
  3. Trachea
  4. Tracheotomy Incision