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(Chest. 1961;39:268-270.)
© 1961 American College of Chest Physicians

Tracheal Fenestration: A Critical Evaluation

MARK W. WOLCOTT M.D.1; THOMAS J. KIERNAN M.D.2; BERNARD SIGEL M.D.3; and GEORGE L. BAUM M.D., F.C.C.P.4

1 Chief, Surgical Services, Veterans Administration Hospital.
2 Resident in General Surgery, Veterans Administration Hospital.
3 Surgical Staff, Veterans Administration Hospital.
4 Chief. Pulmonary Disease Section, Veterans Administration Hospital.

1. Surgery plays an important but limited role in the treatment of the emphysema patient. By far, the intensity of application of medical measures is the dominant factor in determining the final outcome.

2. Tracheal fenestration yields results which in our hands are no better than standard tracheostomy. When examined critically, tracheal fenestration has the disadvantage of not fulfilling all the functions expected of a tracheal stoma.






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Copyright © 1961 by the American College of Chest Physicians.