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Research ArticleOriginal Research

Intratracheal Seal Disc: A Novel Tracheostoma Closure Device

Karen J Christiansen, Niels Moeslund, Henrik Lauridsen, Louise Devantier, Marianne C Rohde, Benedict Kjærgaard and Michael Pedersen
Respiratory Care July 2017, 62 (7) 970-977; DOI: https://doi.org/10.4187/respcare.05301
Karen J Christiansen
Comparative Medicine Laboratory, Department of Clinical Medicine
Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
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  • For correspondence: [email protected]
Niels Moeslund
Comparative Medicine Laboratory, Department of Clinical Medicine
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Henrik Lauridsen
Comparative Medicine Laboratory, Department of Clinical Medicine
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Louise Devantier
Comparative Medicine Laboratory, Department of Clinical Medicine
Department of Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, Aarhus, Denmark.
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Marianne C Rohde
Department of Forensic Medicine, Aarhus University, Aarhus, Denmark.
Department of Forensic Medicine, Aarhus University, Aarhus, Denmark.
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Benedict Kjærgaard
Department of Clinical Medicine, Aarhus University, Aarhus, Denmark and the Department of Thoracic Surgery, Aalborg University Hospital, Aalborg, Denmark.
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Michael Pedersen
Comparative Medicine Laboratory, Department of Clinical Medicine
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    Fig. 1.

    Timing of study. CT = computed tomography.

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    Fig. 2.

    The silicone seal with a predetermined line of weakness. Two different threads are attached for tensioning and unraveling function, respectively.

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    Fig. 3.

    Outer housing comprising attachment means for the silicone threads.

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    Fig. 4.

    Transversal cross section of the 5 pigs included in the study at the level of the tracheal seal. In one pig, the tracheal seal (A) was slightly curved, whereas the remaining seals (B–E) were flush with the inner lining of the trachea. F: Surface reconstruction of the skeleton, airways, and tracheal seal in one of the pigs. Lines indicate the cross sections applied to measure cross-sectional area in Table 1. Cau = caudal, cra = cranial.

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    Fig. 5.

    Inspection of the healed tracheostoma at tissue excision.

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    Fig. 6.

    The superficial layer close to the skin surface in a pig with complete extraction. One week after extraction, the tracheostoma had healed. No signs of acute inflammation were found; only changes following foreign body placement with fibroblast outgrowth and giant cell formation. The arrow points at the enlarged area of the healed tracheostoma. Hematoxylin and eosin stain was used.

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    Fig. 7.

    The endotracheal surface and the area close to the endotracheal surface in a pig where the extraction was complete. One week after extraction, the tracheostoma had healed; the arrow on the right points at the enlarged area of the healed tracheostoma (showing the same area as in Fig 2 from the superficial area). The arrow on the left points at the enlarged area of the intact endotracheal epithelium, where the endotracheal seal was placed. Hematoxylin and eosin stain was used.

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Respiratory Care: 62 (7)
Respiratory Care
Vol. 62, Issue 7
1 Jul 2017
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Intratracheal Seal Disc: A Novel Tracheostoma Closure Device
Karen J Christiansen, Niels Moeslund, Henrik Lauridsen, Louise Devantier, Marianne C Rohde, Benedict Kjærgaard, Michael Pedersen
Respiratory Care Jul 2017, 62 (7) 970-977; DOI: 10.4187/respcare.05301

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Intratracheal Seal Disc: A Novel Tracheostoma Closure Device
Karen J Christiansen, Niels Moeslund, Henrik Lauridsen, Louise Devantier, Marianne C Rohde, Benedict Kjærgaard, Michael Pedersen
Respiratory Care Jul 2017, 62 (7) 970-977; DOI: 10.4187/respcare.05301
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Keywords

  • tracheostomy
  • decannulation
  • computed tomography
  • histology
  • animal model
  • device

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