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Detailed Surgical Technique of Tracheal Fenestration, with a Report of Twenty-Six Cases
E. E. ROCKEY, M.D.
AMA Arch Surg. 1959;79(6):875-888.
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Tracheal fenestration1-5 is a new operative procedure for the treatment of chronic respiratory diseases. It is a skin-lined cervical tracheocutaneous communication equipped with two door-like skin valves at its external end. The valves can be opened at will for the purpose of tracheobronchial aspiration and medication, or self-aspiration and self-medication. When the valves are not held apart, the tracheocutaneous communication is airtight and leakproof; phonation and the cough mechanism remain normal. The purpose of this paper is to present the detailed surgical technique of tracheal fenestration, based on experience with 26 cases.
Operative Technique
A 4 in. long transverse skin incision is made over the lower anterior surface of the neck, about the level of the cricoid cartilage. This incision is then extended in such a way that one skin flap is outlined above, and one below, the level of the initial transverse incision. The base of each opposing
. . . [Full Text PDF of this Article]
Author Affiliations
New York
From the New York Medical Col lege-Metropolitan Medical Center, and St. Anthony's Hospital, Woodhaven, Long Island, N.Y.
Footnotes
Received for publication Sept. 17, 1959.
Surgery Illustrated. Shown in part as a Scientific Exhibit at the Annual Meetings of the National Tuberculosis Association and American Trudeau Society, Chicago, May 25-29, 1959; at the 108th Annual Meeting of the American Medical Association, Atlantic City, June 8-12, 1959, and at the Annual Meeting of the American College of Surgeons, Atlantic City, Sept. 28-Oct. 2, 1959.
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