A surgical technique to prevent tracheostomal stenosis after laryngectomy.
Tracheostomal stenosis after total laryngectomy is a frequently occurring nuisance to both the patient and the surgeon. Although many causes may contribute to the development of tracheostomal stenosis, operative technique seems to play a major role. The authors describe and explain their method of stomal construction. Over a 10-year period they have used the described method on 260 patients undergoing a total laryngectomy, with an incidence of tracheostomal stenosis of 6%.
Vlantis
A C
AC
Department of Otorhinolaryngology, University Hospital Nijmegen, The Netherlands.
Marres
H A
HA
van den Hoogen
F J
FJ
D006801:Humans; D007825:Laryngectomy; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D054047:Surgical Stomas / Q000473:pathology*; D013536:Suture Techniques; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000517:prevention & control*