Correction of tracheal stomal stenosis

Jo, Donegan; Silver, Fred

doi:10.1288/00005537-198407000-00025

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…But it is a widely accepted method to divide the sternal head of the sternocleidomastoid muscle if it is prominent for preventing stomal stenosis. [4,6,9,10] But the data to support this empiric approach is still lacking in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Double Reversing Z Plasty for Tracheal Stenosis After Total Laryngectomy

Karabulut¹

2020

South Clin Ist Euras

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Objective: To assess the efficacy of double reversing Z plasty technique for stomaplasty in patients who had total laryngectomy. Methods: This was retrospective chart review of 20 patients having tracheostomal widening procedure`double reversing Z plasty` at our department between August 2016 and October 2019. Widest length of the stoma was measured in mm for each patient preoperatively and at postoperative 1st month respectively. The results were compared.Results: All 20 patients showed statistically significant widened tracheostoma without any complication. Mean diameter of the stoma was measured as 12±1.2 mm (range be-tween10−14) and 21±1.3 (range between 19−24) mm preoperatively and postoperatively, respectively. The difference was statistically meaningful (p=0.01). 10 of patients (50%) had voice prosthesis in previous total laryngectomy procedure and their phonatory protshesis functioned well after the surgery. All patients were discharged at postoperative day 1. There was no need to wear laryngeal tube which shows successful amelioration of the disease in postoperative period. Conclusion:Double reversing stomaplasty is an effective technique to manage tracheastomal stenosis in total laryngectomized patients without any complication specific to the technique.

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Section: Discussionmentioning

confidence: 99%

“…[5][6][7] There are multiple surgical techniques defined for management. [8][9][10][11] One of the recent method for management of tracheal stenosis was described by Kim et al [11] as double reversing Z-plasty.…”

Section: Introductionmentioning

confidence: 99%

Double Reversing Z Plasty for Tracheal Stenosis After Total Laryngectomy

Karabulut¹

2020

South Clin Ist Euras

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“…1). Several modifications have been described, but they all have in common the use of a posterior skin flap 2,5,15,16 . This technique usually succeeds in increasing the diameter of the stoma, but it can interfere with prosthetic voice rehabilitation, since the dorsal part of the tracheostoma becomes covered with skin.…”

Section: Techniques Of Tracheostomal Reconstructionmentioning

confidence: 99%

The Tracheostoma in Relation to Prosthetic Voice Rehabilitation

et al. 1996

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“…Despite these precautions, stomal stenosis does occur in a significant percentage of patients following laryngectomy-in one series over 40% required revision surgery (Balle and Bretlau, 1985). The variety of corrective surgical procedures confirm that it is a difficult problem to manage (Converse, 1950;Myers and Gallia, 1982;Donegan and Silva, 1984). Techniques include rotational or transposition flaps of local skin to increase the diameter of the tracheal opening.…”

Section: Introductionmentioning

confidence: 99%