Question

Tracheostomy indication is:

• A. Vocal cord replacement
• B. Pharynx replacement
• C. Tracheomalacia
• D. Foreign body obstructing airway

Hint:

Pick the choice that causes acute upper airway obstruction needing a bypass.

Answer 1

The Correct Option is D

Step 1: Tracheostomy creates a surgical opening into the trachea below an obstruction to secure the airway. Its core indications are upper airway obstruction, the need to bypass an obstruction, prolonged ventilation, and clearance of bronchial secretions.
Step 2: A foreign body lodged in the airway causes acute upper airway obstruction. When it cannot be removed quickly by other means and the patient is asphyxiating, an emergency tracheostomy bypasses the blockage and restores ventilation. So option (d) is a valid indication.
Step 3: Vocal cord replacement and pharynx replacement (options a and b) are not real surgical indications for a tracheostomy. Tracheomalacia (option c) is usually managed by other means and is not the classic single best indication offered here.
Step 4: The best answer is foreign body obstructing the airway, option (d).