Tracheostomal stenosis after immediate tracheoesophageal puncture.
The incidence of tracheostomal stenosis in a group of patients after total laryngectomy with or without pharyngectomy plus immediate tracheoesophageal or tracheogastric puncture was compared with that of a control group without puncture. The stenosis rate of the puncture group was significantly higher than that of the control group (19% vs 6%). The other probable etiologic factors for stomal stricture were similar in both groups. Analysis of the risk factors in the puncture group suggested a higher tendency of stenosis in females (43% vs 16%) and in patients receiving postoperative radiotherapy (29% vs 14%), although the difference failed to reach statistical significance.
Ho
C M
CM
Department of Surgery, University of Hong Kong, Queen Mary Hospital.
Wei
W I
WI
Lau
W F
WF
Lam
K H
KH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000009:adverse effects; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D004946:Esophagostomy / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D011677:Punctures / Q000009:adverse effects* / Q000379:methods; D013530:Surgical Wound Infection / Q000209:etiology; D014135:Tracheal Stenosis / Q000209:etiology*; D014139:Tracheostomy / Q000009:adverse effects* / Q000379:methods