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Article
April 1947

CLASSIC AND OTHER TYPES OF TRACHEOTOMY

Author Affiliations

GRAND JUNCTION, COLO.

Arch Otolaryngol. 1947;45(4):446-462. doi:10.1001/archotol.1947.00690010458007
Abstract

TRACHEOTOMY is one of the most important operations known, because it is lifesaving to the highest degree and, furthermore, is performed for various other indications. Its mastery is therefore an urgent requirement for every physician, but above all necessary for the rhinolaryngologist, who on frequent occasions may suddenly be called on to perform it.

The performance of tracheotomy requires a certain amount of knowledge of the anterior region of the neck. I want to present that to you very simply.

Look at the neck from the side (fig. 1) or, even better, palpate your own neck in front, bending the head slightly backward and stroking with your finger gently from above downward along the anterior surface of the neck in the middle line. You feel two main prominences, one above, one below. The upper one is Adam's apple; the lower one is the important one for present purposes. Your finger

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