In the following image, identify the correct incision site of tracheostomy?

Question

Question

This question was previously asked in

AIIMS NORCET 8 Prelims Memory Based Paper 2025

Attempt Online

Answer 1

Correct Answer: Between third and fourth tracheal ring

Rationale:

Tracheostomy is a surgical procedure involving an incision on the anterior neck to access the trachea. It is commonly performed to establish a direct airway when normal breathing is obstructed or compromised.
The correct incision site for a tracheostomy is between the third and fourth tracheal rings. This location is chosen because it avoids critical anatomical structures like the thyroid gland and minimizes the risk of complications such as bleeding or injury to surrounding tissues.
Placing the incision between the third and fourth tracheal rings provides adequate access to the trachea while ensuring structural stability for the placement of a tracheostomy tube.

Explanation of Other Options:

Between second and third tracheal ring

Rationale: Although this site is close to the correct location, it is generally avoided because it is closer to the cricoid cartilage and thyroid gland. Incisions in this area may increase the risk of damage to surrounding structures and complications such as bleeding.

In third tracheal ring

Rationale: Direct incision into the third tracheal ring is not recommended because it compromises the integrity of the cartilage and increases the risk of tracheal collapse or deformity over time.

In fourth tracheal ring

Rationale: Incising directly into the fourth tracheal ring poses similar risks as the third ring. It can lead to weakening of the tracheal structure and potential complications during healing.

Blank Option

Rationale: This option is invalid as it does not provide any anatomical site for the incision.

Conclusion:

The optimal site for tracheostomy incision is between the third and fourth tracheal rings due to its safety and effectiveness in avoiding critical anatomical structures while ensuring proper access to the trachea. Other options either pose risks of damaging surrounding structures or compromise tracheal integrity.