An improved technique for treating tracheostomal stenosis following laryngectomy.
Stenosis of the tracheostome is an occasional complication following laryngectomy. Having tried a number of procedures recommended for correction of such stenoses with limited results, we developed a new technique. This technique which is based on multiple Y-V plasties has been applied to 20 patients. Measurements of the stomal area following surgery in 18 patients showed an average increase in stomal size by a factor of 3.8. One patient apparently had no increase of the stoma. In 2, no post-operative measurements were available. Post-operative infection resulted in recurrence of the stenosis in one patient. He was successfully reoperated using the same technique. Follow-up revealed that none of the patients had complaints related to their stoma.
Bretteville
G
G
Department of Plastic Surgery, Rikshospitalet, University of Oslo, Norway.
Söberg
R
R
Boysen
M
M
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation; D013997:Time Factors; D014139:Tracheostomy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods