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European Archives of Oto-Rhino-Laryngology

, Volume 266, Issue 6, pp 879–882 | Cite as

Long-term results with a simple technique of stoma creation after laryngectomy

  • Yogesh BajajEmail author
  • A. Shayah
  • D. Loke
  • N. Sethi
  • S. Gunasekaran
  • C. J. Woodhead
Head and Neck
  • 241 Downloads

Abstract

Stomal stenosis after laryngectomy has a major impact on patient rehabilitation. The major contributory factor is the operative technique. The goal is to achieve a widely patent stoma. The objective of the study was to review the long-term results of the technique of stoma creation used by the senior author (CJW). The simple technique, using skin triangles for tracheostoma creation after laryngectomy, has been used by the senior author for past 6 years. Review of 59 cases of total laryngectomy with or without partial pharyngectomies in whom this technique was used for stomaplasty. The technique described for stoma creation after total laryngectomy has been used in 59 patients (48 male, 11 female) over 6 years. The follow-up of these patients varies from 6 months to 6 years. Of these patients 54/59 (91.5%) did not have any problems with the stoma. A total of 5/59 (8.5%) patients, the stoma was narrow. Amongst these patients with narrow stoma, only 1 patient (1.7%) has had dilatation done and the others are managing reasonably with a stoma button. None of the patients in this study has required revision procedures on the stoma. The simple technique of stoma creation described in this study has good long-term results.

Keywords

Tracheotoma Stenosis Laryngectomy 

References

  1. 1.
    Kuo M, Ho CM, Wei WI, Lam KH (1994) Tracheostomal stenosis after total laryngectomy: an analysis of predisposing clinical factors. Laryngoscope 104:59–63. doi: 10.1288/00005537-199401000-00010 PubMedCrossRefGoogle Scholar
  2. 2.
    Wax MK, Touma BJ, Ramadan HH (1995) Tracheostomal stenosis after laryngectomy: incidence and predisposing factors. Otolaryngol Head Neck Surg 113:242–247. doi: 10.1016/S0194-5998(95)70112-5 PubMedCrossRefGoogle Scholar
  3. 3.
    East CA, Flemming AFS, Brough MD (1988) Tracheostomal reconstruction using a fenestrated deltopectoral skin flap. J Laryngol Otol 102:282–283. doi: 10.1017/S0022215100104736 PubMedCrossRefGoogle Scholar
  4. 4.
    Panje WR, Kitt VV (1985) Tracheal stoma reconstruction. Arch Otolaryngol 111:190–192PubMedGoogle Scholar
  5. 5.
    Clairmont AA (1978) Tracheostoma construction during laryngectomy: techniques to prevent stenosis. J Laryngol Otol 92:75–78. doi: 10.1017/S0022215100084966 PubMedCrossRefGoogle Scholar
  6. 6.
    Lam KH, Wei WI, Wong J, Ong JB (1983) Tracheostome construction during laryngectomy: a method to prevent stenosis. Laryngoscope 93:212–215. doi: 10.1288/00005537-198302000-00018 PubMedCrossRefGoogle Scholar
  7. 7.
    Trail ML, Chambers R, Leonard JR (1966) Z-plasty of tracheal stoma at laryngectomy. Arch Otolaryngol 88:110–112Google Scholar
  8. 8.
    Vlantis AC, Marres HAM, Hoogen VD, Frank JA (1998) A surgical technique to prevent tracheostomal stenosis after laryngectomy. Laryngoscope 108:134–137. doi: 10.1097/00005537-199801000-00026 PubMedCrossRefGoogle Scholar
  9. 9.
    Griffith GR, Luce EA (1982) Tracheal stoma stenosis after laryngectomy. Plast Reconstr Surg 70:694–698. doi: 10.1097/00006534-198212000-00006 PubMedCrossRefGoogle Scholar
  10. 10.
    Myers EN, Gallia LJ (1982) Tracheostomal stenosis following total laryngectomy. Ann Otol Rhinol Laryngol 91:450–453PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Yogesh Bajaj
    • 1
    • 2
    Email author
  • A. Shayah
    • 1
  • D. Loke
    • 1
  • N. Sethi
    • 1
  • S. Gunasekaran
    • 1
  • C. J. Woodhead
    • 1
  1. 1.Department of ENTLeeds General InfirmaryLeedsUK
  2. 2.LeedsUK

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