Tracheostomy Tube or Stoma: Your New Airway
If your surgeon has given you a new airway during surgery, it may be in place only a short time while you heal. If your larynx has been removed, you will continue breathing through this new airway. In either case, your healthcare team will help you adjust.
If you have a tracheostomy tube
Your tracheostomy (trach) tube has been chosen to fit well and work right for you. You will learn how to keep it clean and clear. You may only need the trach tube for a short time. Your surgeon will tell you how long you will need the tube. If you are able to breathe on your own, without the trach tube, it may be removed. You will have a dressing over the site while it heals. In some cases, surgery is needed to close the hole.
If you have a stoma
If your larynx was removed during surgery, you will continue to breathe through the hole in your throat. This hole is called a stoma or permanent tracheostomy. It is important that you and those who care for you know that this is your only airway. In a medical emergency, healthcare providers won't be able to put in a breathing tube through your nose or mouth. You will be shown how to care for your stoma. Support groups can help you adjust to having a new airway. Eventually you can return to work, family life, and many of the activities you enjoyed before surgery.
When to call your healthcare provider
Call your healthcare provider right away if you have any of these problems:
- A red, painful, or bleeding stoma
- Yellow, smelly, bloody, or thick mucus around or inside your stoma
- Pain while cleaning your airway
- Swelling near the trach tube or stoma
- Difficulty breathing, wheezing, or persistent cough
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