Page 37 - Head and neck surgery

Defect after MR and PLCE: thyroid glands

(THY) are preserved bilaterally. A ruler is

used to measure the length of PE defect OP

from the oropharynx (OP) down to the

gastric tube (retracted by silk stitches).

Since there is posterior tracheal wall
THY
invasion, a length of trachea is resected. The

short tracheal stump is brought out to the

overlying chest wall skin after transposition

beneath the brachiocephalic artery (BA).

This is to reduce tension between the BA

anterior tracheal wall and overlying skin, and BV

of the trachea on the BA which in turn can Trachea

lead to pressure necrosis and blowout

bleeding.