Frequently Asked Questions
What is Tracheostomy?
Tracheostomy is a surgical procedure which creates a hole into the trachea [windpipe] through the front side of the neck. This helps in providing air passage incase of the obstruction or impaired breathing and also removes secretions from the lungs with the tracheostomy tube. Tracheostomy is either permanent or temporary depending on the severity of breathing impairment or obstruction. There are different types of Tracheostomy tubes and they are:
- Adjustable flange tube
- Fenestrated tube
- Single lumen tube
- Uncuffed tube
- Double lumen tube
- Cuffed tube
There are two types of Tracheostomy surgeries and they are:
- Surgical tracheotomy
- Minimally invasive tracheotomy
What are the advantages of Tracheostomy?
Some advantages of Tracheostomy are:
- Provides air passage
- Treats severe breathing impairment or obstruction
- Discharges lung secretions
- Avoids ventilation
What are the indications of Tracheostomy?
Tracheostomy is indicated in the following conditions:
- Dysfunction of diaphragm
- Vocal cord paralysis
- Severe obstruction to the breathing
- Injury to larynx or chest wall
- Head and neck cancer
- Birth defects of the airway
- Chronic lung disease
- Prolonged ventilation support
- Throat cancer
What is the preparation for Tracheostomy?
- If Tracheostomy is done as an emergency, then there is no time for preparation.
- Before the surgery, the patient should have a discussion with the doctor regarding the selection of Tracheostomy tubes.
- Fasting for up to 12 hours before the surgery may be required.
- Discuss all the risks, complications, and benefits of Tracheostomy with the doctor.
- The patient should inform the doctor about past and present medical and medication history.
What are the steps involved in Tracheostomy?
The steps involved in Tracheostomy are as follows:
- The patient will be sedated using anesthesia before the Tracheostomy.
- Then, the doctor will make a horizontal incision at the lower part front-side of the neck.
- Now, to expose the windpipe, small cuts are made through the thyroid gland.
- Then, a hole is created by the surgeon on the windpipe and the tracheostomy tube will be placed.
- A neck strap will be placed to avoid the tube to slip out of the hole.
What is the recovery care for Tracheostomy?
- The patient should stay in the hospital for several days as the body heals.
- Nurses may teach the patient how to clean and change the tracheostomy tube to prevent infections.
- A speech therapist may help the patient to learn how to speak by using voice devices.
- The health care team may explain to the patient how to cope with the tracheostomy.
Who can perform Tracheostomy [Right specialist type for Tracheostomy]?
Tracheostomy can be performed by:
- Oral and Maxillofacial surgeon
- Critical care specialist
What is the cost of Tracheostomy?
Cost of Tracheostomy depends on factors such as:
- Admission fee
- Surgeon fee
- Age of the patient
- Type of Tracheostomy tube used
- The medical condition of the patient
- Type of surgery planned to be performed
- Post-surgical complications that are involved
- Type of hospital
- The admission room that you opted for
- Any other lab tests or examination tests such as X-ray, ECG, etc
Minimum cost for Tracheostomy in Delhi Starts from Rs.17,325
Average cost for Tracheostomy in Delhi is approximately Rs.25,200
Maximum cost for Tracheostomy in Delhi can rise to Rs.38,955
Is Tracheostomy a major surgery or minor surgery?
Tracheostomy is major surgery as it involves the insertion of a tube into the windpipe by a hole in the front of the neck. This can be either permanent or temporary.
What is the eligibility criteria for Tracheostomy?
People who can undergo Tracheostomy are:
- Individuals suffering from severe airway obstruction or damage
- People with chronic breathing impairment
- Patients with chronic lung disease
What is the ineligibility criteria for Tracheostomy?
People who cannot undergo Tracheostomy are:
- Individuals with normal or mild breathing problems
- People who respond to conservative treatments
What are the risks and complications associated with Tracheostomy?
Risks and complications associated with Tracheostomy are:
- Misplacement of Tracheostomy tube
- Damage to the thyroid gland and larynx
- Lung collapse
- Blockage of the tube with blood clots may occur
- Damage to the esophagus due to air trap in the tissues under the skin of the neck
- Damage to trachea
- Pain and discomfort
How long does it take to complete Tracheostomy?
A surgeon may take 20-45 minutes to complete the Tracheostomy.
What is the recovery time?
Individuals who undergo Tracheostomy may take 2-6 weeks to recover.
What is the success rate of Tracheostomy?
The success rate of Tracheostomy depends on the following factors:
- Age fo the patient
- Severity of the breathing obstruction
- Type of tracheostomy tube used
- Experience of the surgeon
Is Tracheostomy painful?
During the surgery, the patient does not feel any pain due to anesthesia. However, after the surgery, the patient may feel discomfort and pain in the neck.
Is Tracheostomy permanent?
Tracheostomy can be either permanent or temporary depending on the severity of the obstruction to breathing.
Can Tracheostomy be detected in future?
Tracheostomy can be detected in the future:
Temporary tracheostomy:- Scar will be present at the front side of the neck.
Permanent tracheostomy:- A hole will be present in the front of the neck.
What are the long-term results of Tracheostomy?
Some of the long-term effects of Tracheostomy are:
- Provides air passage
- Removes secretions from the lung
- Delivers oxygen to the lungs
- Difficulty in eating food
- Difficulty in speaking and speech impairment