title: A surgical technique for size reduction of exceedingly large tracheal stoma.
abstract: OBJECTIVE
  After tracheostomy some patients may develop a tracheal stoma of excessive size. Effective application of tracheostomy tube is not possible in those patients.
  
  
  METHODS
  Inserted cannula for protection from aspiration or artificial ventilatory assistance becomes easily displaced in two patients with tracheal stoma of excessive size. A simple surgical technique for treatment of large symptomatic tracheal stoma is described in the present study.
  
  
  RESULTS
  A complete symptomatic improvement was noted in those patients after size reduction of the stoma using a new surgical technique.
  
  
  CONCLUSIONS
  Surgical size reduction could be helpful in large tracheal stoma in which tracheal tubes could not be secured from dislocation.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Philipp University, Deutschhausstr. 3, 35037 Marburg, Germany. teymoort@med.uni-marburg.de
authors.forename: Afshin
authors.initials: A
authors.lastname: Teymoortash
authors.forename: Stephan
authors.initials: S
authors.lastname: Hoch
authors.forename: Jochen A
authors.initials: JA
authors.lastname: Werner
mesh_terms: D006801:Humans; D007442:Intubation, Intratracheal; D007825:Laryngectomy; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps; D013536:Suture Techniques; D014139:Tracheostomy