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Tauno Palva, MD; Antti Palva, MD; Juhani Kärjä, MD

Arch Otolaryngol. 1975;101(12):748-750.

Abstract
• In a series of 1,188 mediastinoscopies, six re-mediastinoscopies (0.5%) were made. The indications for repeated mediastinal exploration can be made more lenient since the adhesions between the innominate artery and the trachea need not always be extensive; if they are, an alternative paratracheal route can be used. Caution should be used, keeping possible vascular complications in mind, but we believe that an earlier mediastinoscopy does not contraindicate a repeated procedure.

(Arch Otolaryngol 101:748-750, 1975)

Author Affiliations
From the Department of Otolaryngology, University of Helsinki (Dr T. Palva) and University of Oulu (Drs A. Palva and Kärjä), Finland.

Footnotes
Accepted for publication Aug 14, 1975.

Reprint requests to the Department of Otolaryngology, University of Helsinki, Haartmaninkatu 4 E, 00290 Helsinki 29, Finland (Dr T. Palva).

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