Tracheotomy Care

Types and Parts of Tracheotomy Tubes

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There are many types and brands of tracheotomy tubes. The tubes also come in many sizes. Your doctor will decide the type and size of tube your child will need. The type of tracheotomy tube your child can be based on:

  • Your child's breathing problem
  • Your child's age
  • The size of your child's airway
  • Special needs your child might have

Synthetic Tubes

Most synthetic tubes generally have the same basic parts:

  • The tracheotomy tube or cannula
  • The flanges or faceplate where the ties are secured
  • The obturator or guide for inserting the tube

Here are pictures of the synthetic trach tubes used at Cincinnati Children's:

View of a Shiley Tracheotomy Tube. View of a Bivona Tracheotomy Tube.

Flanges and Obturators

Flanges rest on the child's neck. Tracheotomy ties are attached on both sides (shown below).

A guide is placed inside the tube when the tube is being inserted. The obturator (shown below) is removed immediately after the tube is placed.

Tracheotomy ties are attached on both sides of tube.

Revised 7/07