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Not infrequently, even after the usual decannulating measures are carried out in a tracheotomized patient, it is necessary to reintroduce a tracheotomy cannula hurriedly to relieve laryngeal obstruction. In this situation, one is reluctant to introduce a bronchoscope for temporary relief from the obstruction while the cannula is being reinserted, for fear of aggravating the existing edema. The rapidity with which a tracheotomy fistula will close once the cannula is left out is surprising. The fistulous tract, being lined with exuberant granulation tissue, oozes from every point at the slightest touch. This fact makes the insertion of the tracheotomy tube a messy and time-consuming procedure under the stress of the emergency.
To obviate this difficulty, this decannulating stopple was designed. In reality, it is only a stub tracheotomy tube with the upper and lower ends sealed off. It comes in two sizes, 1 and 2. The length is so designed
Tracheotomy Decannulating Stopple. AMA Arch Otolaryngol. 1951;53(2):198. doi:10.1001/archotol.1951.03750020072011
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