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The procedure described by CPT® Code 31785 involves the excision of a tumor or carcinoma located in the trachea, specifically within the proximal or middle third of the trachea. This surgical intervention is performed using a cervical approach, which entails accessing the trachea through the neck region. The procedure begins with the division of the thyroid isthmus, which is the thin band of tissue connecting the two lobes of the thyroid gland. This step is crucial as it allows for better visibility and access to the trachea. Additionally, the innominate vessels, which are major blood vessels in the neck, are retracted to further expose the trachea for the excision. The goal of this procedure is to remove the tumor or carcinoma along with a margin of healthy tissue to ensure complete excision and minimize the risk of recurrence. Following the excision, the trachea is meticulously repaired with sutures to restore its integrity, and the surgical incisions are subsequently closed. This procedure is critical for patients with tracheal tumors or carcinomas, as it aims to alleviate symptoms and improve overall respiratory function.
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