Self-retaining T-incision for difficult tracheotomy.
OBJECTIVE
To overcome difficulties in complicated tracheotomies through the use of a T-incision.


METHODS
Retrospective.


METHODS
A T-shaped incision allows the wound edges to retract aside spontaneously, without the use of retractors. Four hundred and twelve patients were retrospectively evaluated; 203 received traditional tracheotomy incisions and 209 received a T-incision.


RESULTS
Complication rates were similar for the two groups: 3 per cent in the traditional incision group and 4 per cent in the T-incision group (difference non-significant).


CONCLUSIONS
The T-incision enables good control of bleeding and better exposure of the trachea. This incision was developed for use in difficult cases, such as patients with a short or thick neck, and complicated needle dilatation procedures. The T-incision is quick and suitable for a solo surgeon. Its cosmetic results are acceptable, and it has the same low complication rate as traditional incisions.
Cohen
D
D
Shaare Zedek Medical Center Jerusalem and Ben Gurion University of the Negev, Jerusalem, Israel.
Gurvitz
Y
Y
Friedman
P
P
Raveh
D
D
Perez
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D014140:Tracheotomy / Q000379:methods*