Tracheostomy vs Tracheotomy

Question: I read that a breathing specialist at Rutgers University does NOT recommend tracheostomies for polio survivors. Can you give me more information? And what is the difference between a tracheostomy and a tracheotomy?

Dr. Bruno’s Response: A tracheotomy is an incision made on the front of the neck, below the vocal cords, opening a direct emergency airway to the lungs through the trachea (windpipe) allowing a person to breathe without the use of the nose or mouth.

A tracheostomy is a permanent, surgically created stoma (opening) into the trachea.

Dr. John Bach, the physician that I describe as the world’s expert on breathing and polio, says NO polio survivor should have a tracheostomy unless there is damage to the upper airway stopping the flow of air. The treatment for sleep-disordered breathing or inadequate breathing during the day is the use of positive pressure ventilation via a volume ventilator, not CPAP.

Dr. Bach’s website, videos and contact information:

www.BreatheNVS.com (or) www.doctorbach.com

Videos :

• John R. Bach, MD Faculty Video Profile

• John R. Bach, MD Noninvasive ventilatory care in patients with breathing muscle weakness

• John R. Bach, MD Ways to Avoid Respiratory Complications with Polio and Post

Richard L. Bruno, HD, PhD

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Polio Eradication: A Brief Review of 2023

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Vision Issues and PPS