Trach for double/triple chins?

[CardiacDork, MSN, RN]

Okay, I was watching a video and the video was a rather large fellow with what appeared to be a double triple or quadruple chin.

I'm not trying to be offensive, but how are people with rather large chins composed of mainly adipose tissue trached???

Is the fatty tissue sucked out? Sliced out? Like what happens? Do they just make a hole through all the fat?

This is an honest question.

[Shagce1]

There are trachs that are longer. I think (maybe) Shiley makes one called an XLT

[meanmaryjean, DNP, RN]

There is also a produce Bivona makes called the HyperFlex which is extended in length from the flange to the connection and can be ordered in custom lengths. It's a product you see a lot of roly-poly babies with.

[BittyBabyGrower, MSN, RN]

Not quite the same but we get some super chubby babies and we order the Bivona Flex for them. It is longer and flexible so you have room for tubing and such.

Must have posted the same time as above lol And I have seen them in older kids in PICU.

[Rose_Queen, BSN, MSN, RN]

We have multiple different trach styles in my OR- the standard double cannula and two different trachs where there is extra length, either from the vent connection to the angle into the trachea or from the angle to extra depth.

[Wile E Coyote, ASN, RN]

1. Neck debulking/defatting combined with standard surgical trach techniques.

2. Modified percutaneous trach procedure using a standard perc trach kit for a neck that is first surgically dissected down enough to ID landmarks and to allow for direct measurement of required trach length.

Source: Working in a smaller community hospital ICU with a few hot-shot ENT's that enjoyed a challenge.

[CardiacDork, MSN, RN]

Very nice. Thanks for the responses thus far.