[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
December 1959

Detailed Surgical Technique of Tracheal Fenestration, with a Report of Twenty-Six Cases

Author Affiliations

New York
From the New York Medical Col lege-Metropolitan Medical Center, and St. Anthony's Hospital, Woodhaven, Long Island, N.Y.

AMA Arch Surg. 1959;79(6):875-888. doi:10.1001/archsurg.1959.04320120017003

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

First Page Preview View Large
First page PDF preview
First page PDF preview