Starplasty: Revisiting a Pediatric Tracheostomy Technique

Solares, C. Arturo; Krakovitz, Paul; Hirose, Keiko; Koltai, Peter J.

doi:10.1016/j.otohns.2004.04.022

Cited by 45 publications

(34 citation statements)

References 22 publications

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“…11 When feasible, emergency cricothyroidotomy is the preferred method of obtaining an emergency surgical airway due to simplicity and speed. 12,13 Urgent awake tracheotomy may be indicated in preference to cricothyroidotomy after failure to ventilate by either mask or intubation during an elective tracheotomy. 12 Additionally, an urgent tracheotomy may be indicated at times when a cricothyroidotomy is contraindicated, such as with distorted anatomy, obstructing tumor, and laryngeal trauma.…”

Section: Resultsmentioning

confidence: 99%

“…Several methods exist for creating a tracheal window, including the inferiorly-based Bjork flap, a superiorly-based tracheal flap, a starplasty incision consisting of multiple tracheal incisions and interdigitation with skin flaps. 13 Incision of calcified tracheal rings may necessitate use of scissors. Although these methods may be successful, they can be time consuming and, thus, may be less appropriate in an urgent setting.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The Tracheotomy Punch for Urgent Tracheotomy

2010

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Tracheotomy is a commonly performed surgical technique used for long-term mechanical ventilation, upper airway obstruction, need for pulmonary toilet, and as an adjunct to surgery where ventilation is anticipated. Urgent tracheotomy may be performed when difficulty is encountered during an elective tracheotomy, or when cricothyroidotomy is impossible or contraindicated due to distorted anatomy or laryngeal obstruction. Various methods of creating a tracheal opening have been described and each of these methods has technical advantages and disadvantages. In the urgent setting, a rapid and technically simple approach is needed for optimal results. We have used the Eisele tracheotomy punch (Pilling, Teleflex Medical, Research Triangle Park, NC) for all tracheotomies, both elective and urgent. In this report we describe five illustrative cases in which the tracheotomy punch was used successfully in the urgent setting to ensure rapid airway access.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Tracheotomy Punch for Urgent Tracheotomy

2010

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“…The ''starplasty'' technique of pediatric tracheostomy is a safe and reliable method of managing chronic upper airway obstruction [4][5][6]. However, as would be expected by its design, virtually all children will develop a persistent TCF following ''starplasty.''…”

Section: Discussionmentioning

confidence: 99%

“…The rationale for this procedure was to reduce the risk of perioperative pneumothorax and accidental tube displacement as well as to hasten stomal maturation. Subsequent experience has confirmed the utility of this technique [4][5][6]. Not surprisingly, the primary drawback to the ''starplasty'' procedure is the high incidence of persistent TCF following decannulation.…”

Section: Introductionmentioning

confidence: 99%

Closure of persistent tracheocutaneous fistula following “starplasty” tracheostomy in children

Sautter

Krakovitz

Solares

et al. 2006

International Journal of Pediatric Otorhinolaryngology

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“…[5][6][7][8]10,11 Again, the goal is to ease recannulation in the event of early accidental decannulation and to avoid cannulating a false passage. All of the authors describe some method of suturing the edges of the tracheal opening to the skin edges.…”

Section: Commentmentioning

confidence: 99%