[The tracheostomy-sphincter procedure - case report of a modified tracheostomy].
BACKGROUND
For an adequate speech production after tracheostomy patients are dependant on a temporary closure of the stoma. This closure can either be done manually or by the use of various tracheostoma valves. The tracheostomy-sphincter procedure, which is introduced in this case, allows the voluntary constriction of the stoma.


METHODS
This case describes the treatment of a paediatric patient with laryngeal stenosis. During tracheostomy formation, an artificial muscle-sphincter was created, using the sternohyoid muscle (strap muscle).


RESULTS
Postoperative contractile movements were possible, which were improved by special exercises. After 3 months the complete closure of the tracheostoma was achieved.


CONCLUSIONS
The establishment of a tracheostomy-sphincter can be carried out during tracheostomy and allows the patient to speak without the use of a device. Tracheobronchial secretions can be cleared via the pharynx by coughing.
Sauer
J A
JA
Klinik für Hals-, Nasen- und Ohrenheilkunde, Philipps-Universität Marburg.
Sauer
A
A
Werner
J A
JA
D000293:Adolescent; D002648:Child; D002921:Cicatrix / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007829:Laryngostenosis / Q000209:etiology / Q000628:therapy*; D009364:Neoplasm Recurrence, Local; D010212:Papilloma / Q000601:surgery; D013997:Time Factors; D014139:Tracheostomy / Q000379:methods*
Der Tracheostomasphinkter - Kasuistik einer modifizierten Methode zur Tracheostomaanlage -