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Mediastinal Tracheostomy

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Abstract

Mediastinal tracheostomy is a highly complex procedure. Despite presenting great morbidity and mortality, it is not proscribed and may be indicated for selected cases. Maneuvers such as transposition of the trachea under the innominate artery and pectoralis major flap rotation have been developed to reduce the risk of complications. In some cases, it is necessary to reconstruct the alimentary tract, with several options, depending on the extension of the disease and the comorbidities of the patient. This chapter presents the principal articles describing the largest series of mediastinal tracheostomy found in a literature search, with discussion about the indications, complications, digestive reconstruction, and results. We present a case in which a mediastinal tracheostomy presented an unusual indication and was conducted in a successful manner. Thus, it is concluded that mediastinal tracheostomy is a feasible procedure in well-selected cases.

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Authors and Affiliations

  1. Head and Neck Surgeon, Fellow of Head and Neck Surgery at Brazilian National Cancer Institute, Rio de Janeiro, RJ, Brazil

    Paulo José de Cavalcanti Siebra M.D. & Ruiter Diego de Moraes Botinelly M.D.

  2. Department of Head and Neck Surgery, Brazilian National Cancer Institute—INCA, Rio de Janeiro, RJ, Brazil

    Terence Pires de Farias M.D., Ph.D., M.Sc., Researcher

  3. Department of Head and Neck Surgery, Pontifical Catholic University, Rio de Janeiro, RJ, Brazil

    Terence Pires de Farias M.D., Ph.D., M.Sc., Researcher

  4. Department of Surgery, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil

    Alexandre Ferreira Oliveira M.D., Ph.D.

  5. Head and Neck Surgery Department, Brazilian National Cancer Institute—INCA, Rio de Janeiro, RJ, Brazil

    Fernando Luiz Dias M.D., Ph.D., M.Sc., F.A.C.S.

  6. Head and Neck Department, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Fernando Luiz Dias M.D., Ph.D., M.Sc., F.A.C.S.

Authors
  1. Paulo José de Cavalcanti Siebra M.D.
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  2. Ruiter Diego de Moraes Botinelly M.D.
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  3. Terence Pires de Farias M.D., Ph.D., M.Sc., Researcher
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  4. Alexandre Ferreira Oliveira M.D., Ph.D.
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  5. Fernando Luiz Dias M.D., Ph.D., M.Sc., F.A.C.S.
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Correspondence to Ruiter Diego de Moraes Botinelly M.D. .

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Editors and Affiliations

  1. National Cancer Institute INCA, Rio de Janeiro, Brazil

    Terence Pires de Farias

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de Cavalcanti Siebra, P.J., de Moraes Botinelly, R.D., de Farias, T.P., Oliveira, A.F., Dias, F.L. (2018). Mediastinal Tracheostomy. In: de Farias, T. (eds) Tracheostomy. Springer, Cham. https://doi.org/10.1007/978-3-319-67867-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-67867-2_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-67866-5

  • Online ISBN: 978-3-319-67867-2

  • eBook Packages: MedicineMedicine (R0)

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