Surgery of the trachea or tracheostomy is a surgical procedure to create an opening through the neck into the trachea. A tube or cannula through this opening to provide an airway and to remove secretions from the lungs is usually placed. A tracheostomy may be done to an inability to breathe, a hereditary anomaía of the larynx, from cancer to serious neck injuries cuelloy mouth. General anesthesia is used, unless the situation is critical. In that case, local anesthesia is injected into the area to reduce discomfort caused by the procedure. It cleans and bandages covering the neck surgery; Surgical cuts are made to expose the tough cartilage rings that make up the outer wall of the trachea. The surgeon then creates an opening into the trachea and inserts a tracheostomy tube.