Article: How to lengthen a tracheostomy tube.(SPECIAL TOPICS CLINIC)(Brief Article)

In some patients, standard tracheostomy tubes are not long enough to actually reach the trachea. When faced with such a situation, the otolaryngologist can construct a customized, adjustable-flange tube by following a four-step procedure:

Step 1. Assemble the necessary equipment. You will need an orotracheal tube and a standard tracheostomy tube with an adjustable flange (figure, A).

[FIGURE A OMITTED]

Step 2. Cut the flange off the tracheostomy tube (figure, B).

[FIGURE B OMITTED]

Step 3. Cut the cuff off the orotracheal tube (figure, C).

[FIGURE C OMITTED]

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