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Surgical airway management (bronchotomy [1] or laryngotomy) is the medical procedure ensuring an open airway between a patient’s lungs and the outside world. Surgical methods for airway management rely on making a surgical incision below the glottis in order to achieve direct access to the lower respiratory tract, bypassing the upper respiratory tract.
For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing.The dressing should be changed and the wound irrigated with normal saline at least twice each day. [4]
The patient should be advised to take absolute voice rest by avoiding coughing, singing and clearing of the throat. Coughing can be treated with cough suppressing and mucolytic agents. Inhalation of steam is advised twice daily. Follow-up endoscopy with flexible endoscopes is performed 3 days after the procedure, to clean up the fibrous residues.
The procedure was first described in 1805 by Félix Vicq-d'Azyr, a French surgeon and anatomist. [3] A cricothyrotomy is generally performed by making a vertical incision on the skin of the throat just below the laryngeal prominence (Adam's apple), then making a horizontal incision in the cricothyroid membrane which lies deep to this point.
A progressively severe sore throat on one side and pain during swallowing (odynophagia) usually are the earliest symptoms. As the abscess develops, persistent pain in the peritonsillar area, fever , a general sense of feeling unwell , headache, and a distortion of vowels informally known as "hot potato voice" may appear.
Cauterization (or cauterisation, or cautery) is a medical practice or technique of burning a part of a body to remove or close off a part of it. It destroys some tissue in an attempt to mitigate bleeding and damage, remove an undesired growth, or minimize other potential medical harm, such as infections when antibiotics are unavailable.
“Spitting is a very complex action involving the muscles of the mouth, tongue, exhalation of air from the lungs and a mental awareness of why and when to spit appropriately,” explains Dr. Gary ...
For example, this procedure cannot be used when there is complete separation of the tracheo-esophageal wall where the puncture would otherwise be placed (for example, in case a portion of the esophagus is removed requiring an anastomosis, or “reconnection” of structures in the region).