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May 1987

Tracheotomy in the Morbidly Obese Patient

Author Affiliations

From the Department of Otolaryngology—Head and Neck Surgery, University of Texas Medical School, Houston.

Arch Otolaryngol Head Neck Surg. 1987;113(5):556-558. doi:10.1001/archotol.1987.01860050102026

• Tracheotomy in the morbidly obese patient (weight more than 130 kg) is a difficult procedure. Because of the thickness of the anterior part of the neck and the redundant chin, most commercially available cannulas are inadequate. A custom-made tube is designed by splitting an endotracheal tube along its longitudinal axis and bending the split sides into a T shape. A modification of the available cannulas is proposed to make them suitable for the morbidly obese patient: they should be longer and straighter toward the external opening and an optional extension should be provided to bypass the double chin.

(Arch Otolaryngol Head Neck Surg 1987;113:556-558)