Question

Why is tracheostomy generally not performed at the first cartilage ring

A. The trachea is too narrow
B. A high chance of subglottic stenosis
C. A high chance of tracheo-innominate artery fistula
D. Inability to access the area

Answer 1

Tracheostomy is typically not performed at the first cartilage ring due to the risk of causing subglottic stenosis, which is a narrowing of the trachea below the vocal cords(option b).

Step-by-step explanation:

A tracheostomy is generally not performed at the first cartilage ring due to the high chance of subglottic stenosis(option b).

The first cartilage ring is situated just below the larynx and performing a tracheostomy at this level increases the risk of damaging the cricoid cartilage, which can lead to subglottic stenosis, a narrowing of the tracheal lumen below the vocal cords. This location is critical for the structure and function of the larynx. Moreover, the procedure's required precision and safety margins make it preferable to perform a tracheostomy below this ring.