T-modification of sternotomy to accommodate a low-lying tracheostomy.
A low-lying tracheostomy can complicate a sternotomy for coronary artery bypass grafting. A modified "T" exposure, transecting the manubrium at the first intercostal space, can be utilized to maintain sternoclavicular architecture and avoid injury to the tracheostomy at the sternal notch.
Woodside
Kenneth J
KJ
Division of Cardiothoracic Surgery, Department of Surgery, The University of Texas Medical Branch, Galveston, Texas, USA.
Zwischenberger
Joseph B
JB
Olvera
D Adrian
DA
Conti
Vincent R
VR
D006801:Humans; D013249:Sternum / Q000601:surgery*; D014139:Tracheostomy / Q000379:methods*