Pedicled transverse rectus abdominis myocutaneous flap: A method for tunnelling with Dilson Luz vascular dilation wands for breast reconstruction

obstructing the airway, oedema and leaks has made tracheostomy unpopular among surgeons as well as anaesthetists for such cases. However, in our cases, scenario tracheostomy was fortunately advantageous as it enabled (1) the use of long‐acting muscle relaxants and (2) correcting the tracheobronchial axis by allowing further release of the extensive contracture bands and eventual introduction of endotracheal tube eventually. The main part of emphasis of the article is the ultimate successful closure of the tracheostomy and successful graft resurfacing and uptake contrary to the traditional fear of graft loss due to contamination. The authors would like to recommend the use of indirect laryngoscope[4] as one of the pre‐anaesthetic examinations for such patients to anticipate such airway difficulties.