RT Book, Section A1 Nicastri, Daniel G. A1 Yun, Jaime A1 Swanson, Scott J. A2 Sugarbaker, David J. A2 Bueno, Raphael A2 Colson, Yolonda L. A2 Jaklitsch, Michael T. A2 Krasna, Mark J. A2 Mentzer, Steven J. A2 Williams, Marcia A2 Adams, Ann SR Print(0) ID 1105841763 T1 Mediastinal Tracheostomy T2 Adult Chest Surgery, 2e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-178189-3 LK accesssurgery.mhmedical.com/content.aspx?aid=1105841763 RD 2024/04/19 AB Despite progress in tracheal surgery over the past 60 years, to date, there is no suitable substitute for the trachea to bridge long gaps after resection. The adult trachea is usually approximately 9 to 13 cm long. Currently, approximately half of the adult trachea can be removed surgically and reanastomosed with various tracheal release and mobilization maneuvers. More extensive tracheal resections are limited by the lack of dependable and predictable replacements. This limitation is quite apparent by the occasional necessity of creating an anterior mediastinal tracheostomy (MT) in palliative, curative, or sometimes emergent or “bail out” procedures.