A Surgical Technique to Prevent Tracheostomal Stenosis After Laryngectomy

Authors

  • Alex C. Vlantis MD,

    1. Department of Otorhinolaryngology, University Hospital Nijmegen, Nijmegen, The Netherlands.
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  • Henri A.M. Marres MD, PhD,

    Corresponding author
    1. Department of Otorhinolaryngology, University Hospital Nijmegen, Nijmegen, The Netherlands.
    • Henri A.M. Marres, MD, PhD, Department of Otolaryngology, University Hospital Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
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  • Frank J.A. van den Hoogen MD, PhD

    1. Department of Otorhinolaryngology, University Hospital Nijmegen, Nijmegen, The Netherlands.
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Abstract

Tracheostomal stenosis after total laryngectomy is a frequently occurring nuisance to both the patient and the surgeon. Although many causes may contribute to the development of tracheostomal stenosis, operative technique seems to play a major role. The authors describe and explain their method of stomal construction. Over a 10-year period they have used the described method on 260 patients undergoing a total laryngectomy, with an incidence of tracheostomal stenosis of 6%.

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