Tracheostomy healing time after decannulation

Christiansen, Karen Juelsgaard; Devantier, Louise; Pasgaard, Thomas; Benson, Thea Emily; Petersen, Johanne Juel; Kjærgaard, Thomas; Pedersen, Michael

doi:10.4081/mrm.2022.822

Cited by 4 publications

(6 citation statements)

References 22 publications

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“…V-Loc 90 barbed sutures were selected from among Quill barbed sutures made from polydioxanone, V-Loc 180 barbed sutures made from polyglycolic acid, and V-Loc 90 barbed sutures made from Glycomer 631. This is because V-Loc 90 with a 90-day absorption profile was the most appropriate, given that tracheal tissues heal for an average of 22 days (9). The size of the suture was determined according to the specimen size, with USP 3-0 V-Loc 90 being the most suitable.…”

Section: Discussionmentioning

confidence: 99%

Cadaveric Feasibility Study of Knotless Barbed Suture for Tracheal Anastomosis in Dogs

et al. 2022

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Appropriate suture technique is crucial for successful tracheal anastomosis. However, standards for an ideal suture method have not yet been established. A previous study suggested tracheal anastomosis using barbed sutures that do not require knots; however, their use in small animals has not been reported. In this study, we aimed to compare knotless barbed sutures with conventional smooth sutures in terms of maximum tensile strength and suturing time in canine tracheal models to demonstrate the feasibility of using barbed sutures in tracheal anastomosis in dogs. Tracheal segments harvested from nine beagle dog cadavers were randomly assigned to three suture groups: barbed suture (B), smooth suture in simple interrupted pattern (SI), and smooth suture in simple continuous pattern (SC). The maximum tensile force and suturing time were compared according to the suturing method, and the mode of failure was evaluated. The average suturing time was 3.29 min in the B group; 4.41 min, SC group; and 8.99 min, SI group (p < 0.001). The average maximum tensile force in the SC group was 134.97 N, which was stronger than the SI (110.57 N) and B groups (103.10 N) (p < 0.05 and p < 0.01, respectively). The difference between the B and SI groups was not significant (p = 0.05). The B group demonstrated comparable mechanical strength and shorter suture time compared with the SI group. Therefore, tracheal anastomosis using barbed sutures could be an effective alternative to conventional smooth sutures in dogs.

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Section: Discussionmentioning

confidence: 99%

Cadaveric Feasibility Study of Knotless Barbed Suture for Tracheal Anastomosis in Dogs

et al. 2022

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“…1 It commonly happens after the removal of maxillary first and second molars, with incidence ranging from 0.31% to 4.7%. 2 In small and fresh OAC, simple suturing results in the closure of OAC. 3 In large defects and delayed closure, various…”

Section: The Use Of Titanium Meshes In Surgical Closure Of the Oroant...mentioning

confidence: 99%

“…Feng et al 1 reported a method that relied on the adhesive strength of the tape and obtained tracheostoma closure within 4.43 ± 0.57 days. Another study reported tracheostoma closure within 1 to 22 days (median: 6 d) after tracheal cannula removal 2 . In pediatric patients, the mean time to tracheostoma closure is reportedly 12 to 17 days (mean: 14 d) 3 .…”

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A Novel Dressing Method to Achieve Early Natural Tracheostoma Closure

Kanno,

Hasegawa,

Kawase-Koga

2023

Journal of Craniofacial Surgery

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Tracheotomy is a routine surgical procedure in oral and maxillofacial surgery. After decannulation, spontaneous tracheostoma closure is usually expected. However, wound healing is often delayed, requiring 1 to 2 weeks for healing and resulting in the need for surgical closure. Although many reports have described the surgical closure of a tracheostoma, few reports have focused on the dressing methods for closure of tracheal openings after decannulation. Herein, the authors report a new tracheostoma closure method that does not rely on surgical closure or the adhesive strength of the tape. The authors’ conventional dressing method was to place gauze over the tracheostoma after decannulation and apply pressure through elastic tape or with a film dressing to seal the tracheostoma and achieve natural closure by reducing the leakage of air and tracheal secretions. However, the conventional method cannot completely prevent the leakage of air and tracheal secretions. We developed a novel method to achieve early closure by markedly reducing the leakage by partially inserting the gauze into the tracheostoma.

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“…We read with great interest the article “Tracheostomy healing time after decannulation” by Christiansen et al [ 1 ]. The authors aimed to determine the tracheostomy wound healing time after decannulation.…”

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confidence: 99%