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Ann Thorac Surg 2004;78:720-721
© 2004 The Society of Thoracic Surgeons

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An alternative method of neck flexion after tracheal resection

Dale K. Mueller, MDa*, John Becker, MDb, Steven K. Schell, MDb, Kishore M. Karamchandani, MDc, James R. Munns, MDa, Brian Jaquet, PAa

a HeartCare Midwest, Peoria, Illinois, USA
b Department of Anesthesiology, Order of St. Francis Medical Center, Peoria, Illinois, USA
c Peoria Pulmonary Associates, and University of Illinois at Peoria, Peoria, Illinois, USA

Accepted for publication September 4, 2003.

* Address reprint requests to Dr Mueller, HeartCare Midwest, Medical Park Physicians Center, 515 NE Glen Oak, Ste 210, Peoria, IL 61603, USA
e-mail: mue{at}heartcaremw.com

Tracheal resections for benign and malignant disease are well described. The addition of release procedures, including suprathyroid and suprahyoid laryngeal release, has increased the capability of extended tracheal resection and primary reconstruction. Constant neck flexion by a suture between the skin of the point of the chin and midline of the chest over the manubrium is also widely considered paramount to successful tracheal resections. We designed a straightforward alternative to this method for patient comfort and compliance.






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