Retrosternal Percutaneous Tracheostomy: An Approach for Predictably Impossible Classic Tracheostomy

Figure 1

A CT in a patient with a short neck and with a very large goiter. The CT cut is approximately 1 cm above the sternal notch. The trachea is surrounded by the goiter and cannot be safely reached from the anterior portion of the neck, unless thyroidectomy is performed in advance.