FIELD: medicine. SUBSTANCE: traditionally cervical mediastinotomy is conducted by resecting the tissue along main cervical vascular-nervous fascicle or by horizontal cut above sternum. Studies have shown that in this case inflammatory process is spread at first onto hyoid-thyroid-supralaryngeal space fiber, then it comes down lower hyoid bone under hyoid-thyroid membrane, to lateral wall of larynx and from there it can spread along pretracheal fiber into anterior mediastinum and along prevertebral fiber - into posterior one. Thus, the given method deals with resecting tissues to the main cervical fascia inclusively along the line from lateral edge of sternum to hyoid bone at the place of its body connection with large corniculum. Bluntly fascial platelets are separated along external edge of sternal-hyoid and sternal-thyroid muscles, then the upper venter of scapular-hyoid muscle is intersected, and thyroid-hyoid membrane is partially resected. Then along internal surface of sternal-hyoid muscle one should come into hyoid-thyoid-superlaryngeal space under hyoid bone. By separating Riche aponeurosis one should come into anterior mediastinum under sternal-thyroid muscle. Then lateral surface of trachea and esophagus are liberated to enter posterior mediastinum along prevertebral fascia. EFFECT: lower traumaticity, more simplified and safe method due to no damage of internal jugular vein, vagus nerve that leads to adequate drainage of purulent-necrotic inflammatory process all its distance long.
