Tracheostomal stenosis following total laryngectomy

A. J. Yonkers, G. A. Mercurio

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Tracheostomal stenosis, a relatively common complication following total laryngectomy, may be attributable to multiple factors, including infection, radiation, poor surgical technique, and the metabolic health of the patient. If careful technique is utilized and attention to details is given in the initial construction of the stoma, the chance of a successful outcome is much greater. Many techniques are available to the surgeon, but the successful procedures all include some method whereby the circular scar is broken up through the use of Z plasties or skin flaps, or segments of the circular scar are lengthened relative to other segments, as in the beveling technique. It is important to view a secondary revision as a true reconstructive operation and not as a minor revision, in order to achieve a competent functional tracheal stoma.

Original languageEnglish (US)
Pages (from-to)391-405
Number of pages15
JournalOtolaryngologic Clinics of North America
Volume16
Issue number2
StatePublished - Jan 1 1983
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology

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    Yonkers, A. J., & Mercurio, G. A. (1983). Tracheostomal stenosis following total laryngectomy. Otolaryngologic Clinics of North America, 16(2), 391-405.