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Simple Palliative Mediastinal Tracheostomy

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1 Simple Palliative Mediastinal Tracheostomy
Yasumichi Yamamoto, MD, Toshiya Toyazaki, MD, Shinji Kosaka, MD  The Annals of Thoracic Surgery  Volume 95, Issue 6, Pages (June 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Patient 3 after emergency intubation. An extranodular lymph node metastatic lesion surrounds the cervical trachea (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Schematic illustration of the mediastinal tracheostomy, large vessels, and bone. Broken line, starting point; bold line, endpoint of bone resection; black circle, tracheostomy. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) The skin flap hole (arrow head) slopes toward the tracheostomy (arrow). (B) The tracheostomy and the hole are sutured together (arrow). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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