Tracheotomy is a surgical incision of the trachea through the
neck,
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When you are choking and the hime-leck maneuver fails you need a
Tracheotomy performed
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There is more than one kind of handicap. Some injuries cause
lack of breathing ability, in which case a tracheotomy can be
required. But for handicaps that don't involve the ability to
breathe there's no need for a tracheotomy.