Comparative Analysis of Vertical and U-Shaped Tracheostomy Incision Healing Rates: Fibroblast Cell Count Examination

Authors

  • Edwin Z. Sipayung Universitas Sam Ratulangi
  • Sherly Tandililing Universitas Sam Ratulangi
  • Nico Lumintang Universitas Sam Ratulangi
  • Fredrik G. Langi Universitas Sam Ratulangi

DOI:

https://doi.org/10.35790/ecl.v13i3.62848

Abstract

Abstract: Airway emergencies can significantly increase morbidity and mortality rates, necessitating prompt and accurate assessment and management. Tracheostomy, a procedure to address inadequate ventilation and upper airway obstruction, involves various techniques such as vertical and U-shaped incisions, each affecting wound healing differently. This study aimed to analyze and compare the wound healing rates of vertical versus U-shaped tracheostomy incisions in terms of fibroblast cell count. This was an experimental preclinical study utilized white rats (Rattus novergicus) divided into two groups based on tracheal incision types: vertical and U-shaped. Fibroblast cell count served as the primary measure of healing, examined under a light microscope with hematoxylin-eosin staining. The results showed that the median fibroblast cell count was significantly higher in the U-shaped incision group (103.5 pg/mL) compared to the vertical incision group (25.2 pg/mL), indicating faster healing in the U-shaped incision group. In conclusion, the U-shaped tracheostomy incision demonstrates superior wound healing compared to the vertical incision, reflected by higher fibroblast cell counts. Further research is recommended to confirm these findings in clinical settings.

Keywords: fibroblasts; U-shaped tracheostomy; vertical tracheostomy

Author Biographies

Edwin Z. Sipayung, Universitas Sam Ratulangi

Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesiai

Sherly Tandililing, Universitas Sam Ratulangi

Division of Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi , Manado, Indonesia

Nico Lumintang, Universitas Sam Ratulangi

Division of Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi , Manado, Indonesia

Fredrik G. Langi, Universitas Sam Ratulangi

Faculty of Public Health, Unioversitas Sam Ratulangi, Manado, Indonesia

References

1. Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique, and outcomes discussion. Respir Care. 2014;59(6):895–919. Doi: 10.4187/respcare.02971

2. Lim SY, Kwack WG, Kim Y. Comparison of outcomes between vertical and transverse skin incisions in percutaneous tracheostomy for critically ill patients: a retrospective cohort study. Crit Care. 2018;22(1): 1–7. Doi: 10.1186/s13054-018-2174-y

3. Phifer-Rixey M, Nachman MW. Insights into mammalian biology from the wild house mouse Rattus novergiatus. Elife. 2015;2015(4):1–13. Doi: 10.7554/eLife.05959

4. Furlow PW, Mathisen DJ. Surgical anatomy of the trachea. Ann Cardiothorac Surg. 2018;7(2):255–60. Doi: 10.21037/acs.2018.03.01

5. Al-Shathri Z, Susanto I. Percutaneous tracheostomy. Semin Respir Crit Care Med. 2018;39(6):720–30. Doi: 10.1055/s-0038-1676573

6. Raimonde AJ, Westhoven N, Winters R. Tracheostomy. In: Encyclopedia of Respiratory Medicine, Four-Volume Set. StatPearls Publishing; 2022. p. 239–42. Available from: https://pubmed.ncbi.nlm.nih.gov/32644550/

7. Engels PT, Bagshaw SM, Meier M, Brindley PG. Tracheostomy: from insertion to decannulation. Can J Surg. 2009;52(5):427. Available from: https:// pubmed. ncbi. nlm. nih. gov/19865580/

8. Kennedy MM, Abdel-Aty Y, Lott DG. Comparing tracheostomy techniques: Bjork flap vs. tracheal window. Am J Otolaryngol. 2021;42(6):103030. Doi: 10.1016/j.amjoto.2021.103030

9. Fernandez-Bussy S, Mahajan B, Folch E, Caviedes I, Guerrero J, Majid A. Tracheostomy tube placement: early and late complications. J Bronchology Interv Pulmonol. 2015;22(4):357–64. Doi: 10.1097/LBR. 0000000000000177

10. Sidam S, Nasi A, Gupta V. Impact of vertical and horizontal skin incisions on outcome measures in tracheostomies. Cureus. 2024;13:e54142. Doi: 10.7759/cureus.54142

11. Alsunaid S, Holden VK, Kohli A, Diaz J, O’Meara LB. Wound care management: tracheostomy and gastrostomy. J Thorac Dis. 2021;13(8):5297–313. Doi: 10.21037/jtd-2019-ipicu-13

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Published

2025-08-07

How to Cite

Sipayung, E. Z., Tandililing, S., Lumintang, N., & Langi, F. G. (2025). Comparative Analysis of Vertical and U-Shaped Tracheostomy Incision Healing Rates: Fibroblast Cell Count Examination. E-CliniC, 13(3), 454–457. https://doi.org/10.35790/ecl.v13i3.62848

Issue

Vol. 13 No. 3 (2025): e-CliniC

Section

Articles

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Copyright (c) 2025 Edwin Z. Sipayung, Sherly Tandililing, Nico Lumintang, Fredrik G. Langi

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