title: [The Cannula-free tracheostoma after total exstirpation of the larynx].
abstract: An operative modification of the design of a tracheostoma which uses no cannula is described. This modification considerably simplifies follow-up care and the requisite speech therapy is more successful. The extension of the tracheostoma is achieved by means of an parallel incision which widens the trachea with the acid of 2 tough threads on each side, which are fastened to the clavicle. The threads are left in place for a considerable time. Among other advantages, the patient is relieved of bearing foreign material for the rest of his life. The voice returns better and faster according to our experience. Rehabilitation problems are noticeably simpler to solve, since the feeling, that one must bear a cannula, which would be in constant need of care, is absent, Thereby one is not as aware that he is indeed suffering and the desire for extra retirement benefits is not present. The fifteen patients successfully treated by us, show clearly less dependence on the physician and other hospital personal
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D007830:Larynx / Q000601:surgery*; D011182:Postoperative Care; D013071:Speech, Alaryngeal; D014140:Tracheotomy / Q000295:instrumentation* / Q000379:methods
vernacular_title: Das kanülenfreie Tracheostoma nach Kehlkopftotalexstirpation