Laryngeal Diversion

Source: The Care of Children with Long-Term Tracheostomies, Edited by Ken M. Bleile. Surgical Management of the Tracheostomy, by Steven D. Handler

A. Normal Anatomy. Note relationship between trachea
and esophagus.
B. Laryngeal diversion in which superior
trachea (ST) is closed and the lower trachea (LT) is sutured to the neck skin. The esophagus (E) is left untouched.
C. Laryngeal diversion in which the superior trachea
(ST) is diverted into the esophagus (E). The lower trachea (LT) is sutured to the neck skin.