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
Y1 - 2014
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.
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U2 - 10.5981/jjhnc.40.107
DO - 10.5981/jjhnc.40.107
M3 - Article
AN - SCOPUS:84899659902
SN - 1349-5747
VL - 40
SP - 107
EP - 113
JO - Japanese Journal of Head and Neck Cancer
JF - Japanese Journal of Head and Neck Cancer
IS - 1
ER -