2019 AMI Online Salon

Autologous Complete Tracheal Replacement in a 12-Year-Old Girl

Project Details

  • Entrant Name: Natalie Koscal
  • Membership Type: Professional Submission
  • Address: Boston, MA
  • Client: The New England Journal of Medicine
  • Medium/software used: Adobe Photoshop and Adobe Illustrator
  • Final presentation format: Printed and online journal
  • Primary Audience: Medical professionals, especially cardiothoracic, plastic, and reconstructive surgeons, and head and neck specialists

Project Description

To provide a clear, easy-to-follow visual summary of the main steps involved in an autologous complete tracheal replacement, a clever surgical strategy used to address a critical case of tracheal stenosis in a 12-year-old girl. As tracheal stenosis in children can be complex, this technique has primarily been used in adults, but for this patient, all other treatment options had been exhausted. It was important to visually orient the viewer to the patient’s case by first showing the extent of the tracheal abnormality and the portion of it that was surgically replaced. Illustrations in panel B clearly depict the locations on the patient that the components of the autologous graft were derived from and also provide a sense of scale. For this panel, the rest of the body was kept as a simple outline to keep the eye focused on the key anatomy. The procedure was a success in this patient, and four years later, she has been able to live a mostly normal life, requiring only physiotherapy.