Abstract
Stenosis of the tracheostoma after surgery is a frequent complication. According to the literature, the incidence of this complication ranges from 4% to 42%. Once stenosis occurs, the patient either has to use a stent or needs surgical revision. Many techniques for creating the tracheostoma to prevent stenosis have been attempted, such as by using skin triangles. We performed a simple surgical technique for creating tracheostoma using buried sutures in 23 consecutive patients (21 males, 2 females) after total pharyngolaryngoesophagectomy, between November 2011 and January 2013. The follow-up period of these patients varies from 5 to 25 months, and none of them have needed surgical revision. We speculate that tracheostomal stenosis is created by scar contracture because of excessive scar tissue, skin around the stoma and supportless tracheal ring. This new surgical technique yields good results for preventing tracheostomal stenosis.
| Original language | English |
|---|---|
| Pages (from-to) | 107-113 |
| Number of pages | 7 |
| Journal | Japanese Journal of Head and Neck Cancer |
| Volume | 40 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 1 2014 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Otorhinolaryngology
- Oncology
Cite this
A new surgical technique to prevent tracheostomal stenosis. / Shimamoto, Ryo; Inoue, Keita; Yamamoto, Yusuke; Gorai, Katsuya; Kitatsuji, Maki; Goto, Kanta; Onitsuka, Tetsuro; Nakagawa, Masahiro.
In: Japanese Journal of Head and Neck Cancer, Vol. 40, No. 1, 01.01.2014, p. 107-113.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A new surgical technique to prevent tracheostomal stenosis
AU - Shimamoto, Ryo
AU - Inoue, Keita
AU - Yamamoto, Yusuke
AU - Gorai, Katsuya
AU - Kitatsuji, Maki
AU - Goto, Kanta
AU - Onitsuka, Tetsuro
AU - Nakagawa, Masahiro
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Stenosis of the tracheostoma after surgery is a frequent complication. According to the literature, the incidence of this complication ranges from 4% to 42%. Once stenosis occurs, the patient either has to use a stent or needs surgical revision. Many techniques for creating the tracheostoma to prevent stenosis have been attempted, such as by using skin triangles. We performed a simple surgical technique for creating tracheostoma using buried sutures in 23 consecutive patients (21 males, 2 females) after total pharyngolaryngoesophagectomy, between November 2011 and January 2013. The follow-up period of these patients varies from 5 to 25 months, and none of them have needed surgical revision. We speculate that tracheostomal stenosis is created by scar contracture because of excessive scar tissue, skin around the stoma and supportless tracheal ring. This new surgical technique yields good results for preventing tracheostomal stenosis.
AB - Stenosis of the tracheostoma after surgery is a frequent complication. According to the literature, the incidence of this complication ranges from 4% to 42%. Once stenosis occurs, the patient either has to use a stent or needs surgical revision. Many techniques for creating the tracheostoma to prevent stenosis have been attempted, such as by using skin triangles. We performed a simple surgical technique for creating tracheostoma using buried sutures in 23 consecutive patients (21 males, 2 females) after total pharyngolaryngoesophagectomy, between November 2011 and January 2013. The follow-up period of these patients varies from 5 to 25 months, and none of them have needed surgical revision. We speculate that tracheostomal stenosis is created by scar contracture because of excessive scar tissue, skin around the stoma and supportless tracheal ring. This new surgical technique yields good results for preventing tracheostomal stenosis.
UR - http://www.scopus.com/inward/record.url?scp=84899659902&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84899659902&partnerID=8YFLogxK
U2 - 10.5981/jjhnc.40.107
DO - 10.5981/jjhnc.40.107
M3 - Article
AN - SCOPUS:84899659902
VL - 40
SP - 107
EP - 113
JO - Japanese Journal of Head and Neck Cancer
JF - Japanese Journal of Head and Neck Cancer
SN - 1349-5747
IS - 1
ER -