Tracheostome construction during laryngectomy--a method to prevent stenosis

Laryngoscope. 1983 Feb;93(2):212-5. doi: 10.1288/00005537-198302000-00018.

Abstract

A new technique for construction of the tracheostome at the time of total laryngectomy is described. It involves making an X-shaped incision on the lower skin flap and four slits on the divided trachea. The result is a serrated suture line at the tracheocutaneous junction. The incidence of stenosis in 116 patients who did not have this method of construction was 31%. Sex difference and previous irradiation was not found to be related to the occurrence of stenosis. Of 25 patients who had the new method of tracheostome construction, only one patient had to wear a tube until she died at 7 months. The rest, followed up for at least 9 months, did not have stenosis. It is concluded that this new method of tracheostome construction will reduce the incidence of stenosis.

Publication types

  • Comparative Study

MeSH terms

  • Female
  • Humans
  • Laryngectomy / adverse effects
  • Laryngectomy / methods*
  • Male
  • Surgical Flaps
  • Suture Techniques
  • Tracheal Stenosis / etiology
  • Tracheal Stenosis / prevention & control*