TY  - JOUR
T1  - DEtailed surgical technique of tracheal fenestration, with a report of twenty-six cases
AU  - ROCKEY EE
Y1  - 1959/12/01
N1  - 10.1001/archsurg.1959.04320120017003
JO  - A.M.A. Archives of Surgery
SP  - 875
EP  - 888
VL  - 79
IS  - 6
N2  - 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
SN  - 0096-6908
M3  - doi: 10.1001/archsurg.1959.04320120017003
UR  - http://dx.doi.org/10.1001/archsurg.1959.04320120017003
ER  -