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Bechara Y. Ghorayeb, MD

Arch Otolaryngol Head Neck Surg. 1987;113(5):556-558.

Abstract
• Tracheotomy in the morbidly obese patient (weight more than 130 kg) is a difficult procedure. Because of the thickness of the anterior part of the neck and the redundant chin, most commercially available cannulas are inadequate. A custom-made tube is designed by splitting an endotracheal tube along its longitudinal axis and bending the split sides into a T shape. A modification of the available cannulas is proposed to make them suitable for the morbidly obese patient: they should be longer and straighter toward the external opening and an optional extension should be provided to bypass the double chin.

(Arch Otolaryngol Head Neck Surg 1987;113:556-558)

Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, University of Texas Medical School, Houston.

Footnotes
Accepted for publication July 14, 1986.

Reprint requests to Department of Otolaryngology—Head and Neck Surgery, University of Texas Health Science Center at Houston, 6431 Fannin, Suite 6132, Houston, TX 77025 (Dr Ghorayeb).

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