Improper position of a Tutor. Its inner end has separated from the edge of the ostoma and occupies part of the tracheal lumen. It must be corrected by pulling it from its outer branch and then fixing it in the proper position with its retaining ring.
Internal view of a Tutor who, correctly, supports his wings on the edge of the ostoma. The ostoma tutor is a tube that is inserted through the tracheostomy and fixed inside the trachea with two small wings that prevent accidental removal. It is used as an intermediate step to decannulation to avoid the spontaneous closure … Read more