ISSN 2398-2977      

Trachea: tracheostomy - permanent

pequis

Introduction

  • Permanent impairment or obstruction of the upper respiratory tract (URT) requires either long-term tracheotomy   Trachea: tracheotomy  or a permanent tracheostomy to bypass the obstruction.

Uses

  • URT obstruction: permanent or prolonged time for reversal, eg traumatic collapse of nasal passages, neoplasia of respiratory tract   Respiratory: neoplasia  , idiopathic laryngeal hemiplegia   Larynx: hemiplegia  not amenable to or failed treatment, chondritis.

Advantages

  • Cosmetically more acceptable than tracheotomy tube.
  • Minimal aftercare and less likely to become obstructed by secretions.

Disadvantages

  • Compromises respiratory defense mechanisms.
  • Irreversible.
  • Permanent access to lower respiratory tract - drowning in water.
  • Most easily performed under general anesthesia.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good for repair of tracheostomy.
  • Overall determined by primary condition.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • McClure S R et al (1995) Permanent tracheostomy in standing horses technique and results. Vet Surg 24 (3), 231-234 PubMed.

Other sources of information

  • Honnar C M (1999) Diseases of the trachea. In: Equine Medicine and Surgery. Eds: Colohan et al. Mosby Yearbook, Inc, USA, pp 522-526.

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