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Modified Sternotomy to Minimize Infection Risk in Patients With Prior Laryngectomy and Permanent Tracheostomy
Author(s) -
Mullenix Philip S.,
McDonald Jerome M.,
Miller Joseph,
Needham Charles S.
Publication year - 2006
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2006.00252.x
Subject(s) - medicine , mediastinitis , laryngectomy , surgery , osteomyelitis , median sternotomy , sternum , wound infection , larynx
Patients with prior laryngectomy and permanent tracheostomy undergoing complete sternotomy historically are at increased risk for wound infection, osteomyelitis, mediastinitis, bleeding, tracheal injury, and poor wound healing. We describe three patients who underwent cardiac surgery via low midline incision with transverse flap, providing the exposure of complete sternotomy and decreased infectious risk. Patient selection, technique, and management principles are discussed.