Tracheostomy in Short Neck Patient: A Case Report

DOI

10.2991/978-94-6463-280-4_24How to use a DOI?

Keywords

tracheostomy in patient with short neck; tracheostomy complications; upperairway obstruction

ABSTRACT

Background: Procedure tracheostomy may be performed quickly, but it can also be challenging in patients with burns, acute sickness, post-head traumas, juvenile patients, obesity, short necks, and masses in the neck that impede access to the trachea. The potential of difficulties after a tracheostomy is increased by the short neck condition. The effectiveness of the tracheostomy is directly connected to the surgeon’s willingness to address the patient’s complicating issues. Objective: Understanding how to evaluate a short neck, the potential for difficulties, and preventative measures that may be performed to avoid issues caused by a short neck. Case: According to the report, a 49-year-old male with a short neck—defined as thyromental distance less than 6 cm, sternomental distance less than 12 cm, and neck extension distance less than 5 cm—was suggested for a tracheostomy. When the patient is in the extended neck posture, the laryngeal cartilage may be felt. The tracheal cannula is securely fastened. Methode: A review of references was conducted using PubMed databases, the Web of Science, and Google Scholar. The references were found in books, journals, and guidelines. Result: The trachea was difficult to expose and identify, the trachea canulla was difficult to place, there were no difficulties, the procedure went smoothly, and there was only minor bleeding. Conclusion: Short-neck patients’ tracheostomies provide a challenge for ENT departments, and the outcome of the treatment relies on the surgeons’ talent.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Tri Noviasari Putri
AU  - Hikmah Fitria
AU  - Beny Kurnia
AU  - Lily Setiani
PY  - 2023
DA  - 2023/10/31
TI  - Tracheostomy in Short Neck Patient: A Case Report
BT  - Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
PB  - Atlantis Press
SP  - 130
EP  - 133
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-280-4_24
DO  - 10.2991/978-94-6463-280-4_24
ID  - Putri2023
ER  -