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Lateral Mediastinal Tracheostomy in Benign Disease: An Uncommon Procedure for a Rare Indication  Nancy Deslauriers, MD, Frederic Jacques, MD, Alain Danino,

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Presentation on theme: "Lateral Mediastinal Tracheostomy in Benign Disease: An Uncommon Procedure for a Rare Indication  Nancy Deslauriers, MD, Frederic Jacques, MD, Alain Danino,"— Presentation transcript:

1 Lateral Mediastinal Tracheostomy in Benign Disease: An Uncommon Procedure for a Rare Indication 
Nancy Deslauriers, MD, Frederic Jacques, MD, Alain Danino, MD, Patrick Harris, MD, Jocelyne Martin, MD, Moishe Liberman, MD, André Duranceau, MD, Pasquale Ferraro, MD  The Annals of Thoracic Surgery  Volume 89, Issue 3, Pages (March 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Computed tomographic scan showing the relationship between the sternum, the anterior spine, and the trachea at the thoracic inlet. Note the chin-to-sternum proximity and the pronounced acute angle between the sternum and the trachea (intubated). (B) Removal of the manubrium and proximal sternum allows insertion of a tracheostomy with a long external and standard length internal cannula. Note the redundancy of soft tissues around the stabilizing plate of the cannula even after manubriectomy. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Patient's position on the operating table (A) before and (B) after surgery. Note the head fixator, the nasotracheal tube, and the neck-chest angle in Figure 2A. The head fixator was placed immediately after removal of the neck collar on the operating table by the orthopedic surgery team. The mediastinal tracheostomy can be seen in Figure 2B. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

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