Question

Tracheostomy indication is:

• A. Vocal cord replacement
• B. Pharynx replacement
• C. Tracheomalacia
• D. Foreign body obstructing airway

Answer 1

The Correct Option is D

In the context of surgical procedures, a tracheostomy is primarily indicated in situations where there is an obstruction or impairment of the airway that cannot be resolved by less invasive means. The listed options provide various scenarios or conditions for consideration:

• Vocal cord replacement: This is not an indication for tracheostomy. Vocal cord replacement involves procedures specific to the larynx and voice rehabilitation, and while they may indirectly affect breathing, they do not typically require a tracheostomy unless associated with airway obstruction.
• Pharynx replacement: Similar to vocal cord replacement, this procedure is related to reconstructing parts of the throat. It does not inherently necessitate a tracheostomy unless complications arise that obstruct the airway.
• Tracheomalacia: This condition involves the weakening of the tracheal walls, potentially causing airway collapse. While tracheostomy may be considered in severe cases, it is not the primary indication without significant airway obstruction.
• Foreign body obstructing airway: This is a direct indication for tracheostomy. When a foreign body is lodged in the airway and cannot be quickly removed by other methods like bronchoscopy or Heimlich maneuver, a tracheostomy provides an emergency airway to ensure adequate ventilation.

Thus, the correct indication among the options is a foreign body obstructing airway, as it requires immediate intervention to secure the patient's ability to breathe properly.