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More Details about the Tracheal Surgery 

Tracheal surgery or transplant of tracheal treats a variety of diseases, disorders and conditions that mainly affect the function of the trachea, also known as windpipe. This includes cancerous and noncancerous tumors, airway blockages, and difficulties with the larynx. For breathing, a tube of tracheostomy is placed into the hole to keep it open. Moreover, the term for the surgical procedure to create this opening is tracheotomy. It's allowed to heal shut or is surgically closed, if a tracheostomy is no longer needed. In some cases, a tracheostomy is permanent.

Types of tracheal surgery

The types of tracheal transplant include:

Laryngotracheal reconstruction: It rebuilds and widens the windpipe using pieces of cartilage from another area or from a donor.

Laryngotracheal resection and reanastomosis: It primarily removes a section of the windpipe and joins the two ends.

Tracheostomy: It makes a hole in the front of the neck and through the trachea. A tube is inserted in the opening. The tube offers an airway for breathing and a way to remove lung secretions and excess mucus.

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Overview

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Major Reasons for Trachea Transplant

There are various reasons for trachea transplant such as a tumor, seizing vocal cords, a spasm of your voice box (larynx), injury to your windpipe or airway, swelling of your tongue, mouth, or airway, food or something else stuck in your airway, severe sleep apnea, burns, infections, other illnesses that cause breathing problems, surgery on your face or to take out your larynx (laryngectomy) and birth defects that affect your airways.

Procedure

The transplant technique depends on whether or not the tracheostomy is being performed as a medical emergency. The procedure is done under general anaesthesia when possible and safe.

  • Emergency tracheostomy: You are positioned on your back, and may rolled-up towel be placed under your shoulders to support stretch out your neck. General anaesthetic is injected into the target area, and a make a cut on skin. Then the surgeon will open either the trachea or the cricothyroid membrane. Furthermore, the airway tube is inserted into the trachea and you are connected to the oxygen supply. The entire procedure is done as speedily as possible.
  • Non-emergency tracheostomy: In this case, the procedures is usually performed under general anaesthetic in an operating room. You are positioned on your back, and your neck and chest are cleaned with antiseptic. Afterward, the cut is made in the lower half of the neck, between the larynx and the sternum. Primarily, the skin on your throat is cut horizontally. The underlying muscles are parted, then the thyroid gland may require to be cut or pulled back to expose the trachea. Through the wall of the trachea, a cut is made. Then the tracheostomy tube is placed into the opening. Stitches are required to hold the tube in place.

Frequently Asked Question

The program for tracheal airway disease and transplantation is considered to manage patients with all forms of tracheal airway disease including congenital, disease that results from tumors, and obtained disease which is not uncommon in the COVID-19 era.

Yes, the first artificial trachea surgery was led by Dr. Macchiarini. In addition, the scaffold is made from plastic nano-fibers and seeded with stem cells from the patient's bone marrow.

The esophagus is the tube that attaches the throat to the stomach. Additionally, the trachea is the tube that connects the throat to the trachea and lungs. The esophagus and trachea are two tubes that are not attached.

To help you breathe, a tracheostomy is an opening created at the front of the neck so a tube can be inserted into the windpipe (trachea). If essential, the tube can be connected to an oxygen supply and a breathing machine called a ventilator.

Not every person who loses their voice is eligible for a voice box transplant. In general, it's still considered experimental and recipients have to take anti-rejection drugs for the rest of their lives.

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