 Subsequently, the trachea was transected at the level 3, 4 tracheal ring into cartilaginous space and anterior tracheal stoma was fashioned using 3-0 vertical mattress sutures for the skin. 
Subsequently , the trachea was transected at the level 3 , 4 tracheal ring into cartilaginous space and anterior tracheal stoma was fashioned using 3 - 0 vertical mattress sutures for the skin .