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The platysma muscle together with the subcutaneous tissue comprises the superficial fascia of the head and neck. The deep fascia forms more distinct layers: superficial, pretracheal/middle, prevertebral/ deep, and carotid sheaths. Both the pretracheal and retrovisceral spaces descend into the superior mediastinum acting as important potential conduits of head and neck infections. The thyroid cartilage forms most of the anterior and lateral walls of the larynx. Anterior to the trachea in the neck is the isthmus of the thyroid gland at about the level of the second to fourth tracheal cartilages; below this the inferior thyroid veins, lymph nodes, and sometimes a thyroid ima artery. Lateral to the trachea in the neck are the lobes of the thyroid gland, great vessels, and recurrent laryngeal nerves. A thorough knowledge of anatomy and anatomical variations of the head and neck is essential to avoid or assess complications arising from tracheotomies.
Patients with tracheotomies are managed by a wide variety of healthcare professionals. As a result, information regarding best practice is scattered throughout the medical literature and can be difficult to identify and implement in the clinical setting. Tracheotomy Management: A Multidisciplinary Approach is a practical review of all tracheotomy procedures and acute and chronic tracheotomy care. It combines evidence-based practice and expert opinion to create an invaluable hands-on guide for any healthcare provider managing patients with tracheotomies. Each chapter is authored by at least two different subspecialists, contains case studies with real-life examples of problematic clinical scenarios, and is enhanced by high quality images. The rationale for different approaches is discussed to guide the decision-making process. Written and edited by tracheotomy experts from a wide variety of disciplines, Tracheotomy Management: A Multidisciplinary Approach is essential reading for anesthesiologists, nurse anesthetists and critical care and emergency physicians.