Fig. 2From: Computed tomography imaging-guided parasternal approach drainage for children with tension pneumomediastinum: a case series 2a: Plan the puncture path using preoperative chest computed tomography. Extensive mediastinal tension emphysema compressing the mediastinal vessels and both lungs, the trachea is pushed posteriorly. Extensive lateral subcutaneous emphysema. 2b: Skin surface markers of the puncture site. A: The angle of needle insertion; D: The depth of pneumomediastinum; S: The spacing between the puncture site and the sternum midline. P: The puncture siteBack to article page