2022 AMI Online Salon

Cricotracheal resection

Project Detail

  • Entrant Name:  Paul Kelly
  • Client: Dr.s Ralph Gilbert, David Goldstein, and Shaf Keshavjee
  • Copyright: The Toronto Video Atlas of Surgery, 2021
  • Medium/software used: Maxon Cinema4D, Pixologic ZBrush, Adobe After Effects, DaVinci Resolve
  • Final presentation format: H.264 encoded video available through online website
  • Primary Audience: Otorhinolaryngology surgeons/surgical fellows

Project Description

This 3D animated video, intended for surgical fellows in the field of Ear, Nose and Throat, or ENT, surgery, introduces viewers to the surgical procedure for cricotracheal resection and reconstruction technique for subglottic tracheal stenosis, a condition that affects females almost exclusively, which restricts the airway and makes respiration difficult.The animation demonstrates how the airway is opened by cutting directly into the stenosis, minimizing the amount of trachea to be resected, and the stenotic portion of the trachea is dissected and removed, and the tracheal reconstructed. The animation focuses on key details throughout this procedure for patient safety (such as avoiding the recurrent laryngeal nerve), and proper placement and management of reconstruction sutures for the posterior and anterior trachea wall reconstructions, which require sensitivity to surrounding anatomy and the behaviour of various tissue types involved.All content on TVASurg is open-access – free to view for all. This allows our content to be accessed in anywhere in the world with internet access, including locations where these types of surgical procedures and expertise may be rare or newly established. All our videos include audio narration in English and text captions as well as text labels, providing accessibility to any vision- or hearing-impaired individuals who may seek this information. The full version of this video, including operative footage, can be viewed at http://tvasurg.ca