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Tracheostomy is a procedure to help air and oxygen reach the lungs by creating an opening into the trachea from outside the neck. A person with a tracheostomy breathes through a tracheostomy tube inserted in the opening. 

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Tracheostomy is a procedure to help air and oxygen reach the lungs by creating an opening into the trachea from outside the neck. A person with a tracheostomy breathes through a tracheostomy tube inserted in the opening.

tracheostomy is a procedure to help air and oxygen reach the lungs by creating an opening into the trachea from outside the neck. A person with a tracheostomy breathes through a tracheostomy tube inserted in the opening. 

.
tracheostomy is a procedure to help air and oxygen reach the lungs by creating an opening into the trachea from outside the neck. A person with a tracheostomy breathes through a tracheostomy tube inserted in the opening.

an event, idea, or procedure that effects a significant shift in the current way of doing or thinking about something.

an event, idea, or procedure that effects a significant shift in the current way of doing or thinking about something.
an event, idea, or procedure that effects a significant shift in the current way of doing or thinking about something.