Double Reversing Z Plasty for Tracheal Stenosis After Total Laryngectomy

Abstract

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.