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(trākēŏt`əmē), surgical incision into the trachea, or windpipe. The operation is performed when the windpipe has become blocked, e.g., by the presence of some foreign object or by swelling of the larynx. A curved or flexible tube is inserted into the trachea to facilitate breathing. In diseases such as pneumonia that cause the lungs to fill with fluids, this same incision may be used to drain the lungs. A tracheostomy is the surgical formation of a rounded opening into the trachea and differs from a tracheotomy in that the former procedure establishes a permanent opening.



an emergency operation performed in cases of arrested breathing; a resuscitation technique. The operation was known to the ancient Greek physicians Asclepiades and Galen and has been performed regularly since the 16th century.

Tracheotomy permits the free passage of air into the respiratory tract when the trachea is obstructed as a result of an inflammatory swelling, tumor, spasm of the vocal cords, injury, or foreign body. The incision is made below the obstruction. Modern indications for tracheotomy have been broadened to include cases of respiratory disturbances when the respiratory tract is unobstructed. Such cases include unconsciousness accompanied by the loss of the coughing and breathing reflexes, impairment of the respiratory mechanism after a chest injury, and pulmonary edema.

In tracheotomy, the trachea is generally incised longitudinally or transversely above (superior tracheotomy) or below (inferior tracheotomy) the isthmus of the thyroid. When an emergency tracheotomy is performed at the site of an accident, any available instrument, such as a penknife, may be used. A double tube made of high-grade metal or plastic is inserted into the incision. The inside tube is periodically removed and replaced, or cleansed and sterilized. The upper respiratory tract is cleansed through a tracheostoma, or opening in the trachea. Through this opening, mucus is removed by suction, the trachea is irrigated, and medicine is administered. Artificial respiration is carried out through the tracheostoma as well. After breathing is restored, the tube inserted in the tracheostoma is removed. The opening in the trachea usually heals without complications.


Arapov, D. A., and Iu. V. Isakov. Trakheostomiia v sovremennoi klinike, 2nd ed. Moscow, 1974.


surgical incision into the trachea, usually performed when the upper air passage has been blocked
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assemble 14 chapters that review all tracheotomy procedures and acute and chronic tracheotomy care for healthcare providers such as anesthesiologists, nurse anesthetists, and critical care and emergency physicians managing patients with tracheotomies.
The child had been treated since October at London Health Sciences Centre in Ontario, which refused to perform the tracheotomy, saying it is not palliative and was not medically appropriate.
Doctors decided to upgrade her condition because the tracheotomy done a day earlier was uneventful, hospital spokeswoman Katie Riley said.
Experience providing care to tracheotomy patients was the strongest predictor of overall knowledge scores (B = 0.
At seven weeks and weighing just five pounds, he had the tracheotomy which still helps his lungs to function today.
Professor Mansel Griffiths, a head and neck specialist, said an MRI scan would have determined whether the tracheotomy treatment was necessary at all.
William Thornton proposed thawing the body-first in cool water and then with warm blankets and rubbing of the skin, with a subsequent tracheotomy, artificial respiration at the tracheotomy site and a transfusion of lamb's blood," the New York Post quoted Lone Pine, John Hafnor and Dale Crawford as having written in the book.
In a statement on Friday he said that it will ensure the supremacy of Parliament and maintain the tracheotomy of power enshrined in the Constitution.
Peter Hughes, who cannot speak because of a tracheotomy and who experiences hallucinations, was last seen in his light blue Ford Fiesta, registration VE56 TXM, on the Hereford to Ledbury Road at 6am yesterday.
Chapters are divided into thematic sections covering thyroid parathyroid glands, neck metastases, oral/oropharyngeal tumors, laryngeal tumors, hypopharyngeal cancer, nasopharyngeal cancer, salivary glands, skull base tumors, vascular tumors, congenital tumors, parapharyngeal space tumors, infections of the head and neck, tracheotomy, reconstruction, and miscellaneous.