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Stenosis of the postlaryngectomy tracheal stoma remains a persistent problem. A retrospective study of 89 patients determined on overall incidence of 22 percent. The use of postoperative radiotherapy was associated with a higher incidence (36 percent) than preoperative radiotherapy (19 percent) and combined preoperative and postoperative radiotherapy (17 percent). Retention of the tracheal cannula for longer than 1 week was associated with a slightly increased incidence (25 percent) of stenosis. The technique of stomal construction was an important determinant of stoma stenosis. A simple circle of straight transection of the trachea had the highest incidence (29 percent) of stenosis, which could be reduced with a beveled technique (15 percent). The lowest incidence was seen with a primary plastic or flap construction technique (8 percent). The authors recommend the construction of a patulous stoma by a technique of beveling transection of the tracheal stump in combination with the use of interdigitation skin flaps.
G R Griffith, and
E A Luce
February 1969,
The Laryngoscope,
G R Griffith, and
E A Luce
January 1980,
The Laryngoscope,
G R Griffith, and
E A Luce
October 1983,
International journal of radiation oncology, biology, physics,
G R Griffith, and
E A Luce
June 1985,
The Laryngoscope,
G R Griffith, and
E A Luce
August 1968,
Southern medical journal,
G R Griffith, and
E A Luce
January 2006,
Otolaryngologia polska = The Polish otolaryngology,
G R Griffith, and
E A Luce
September 2013,
Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery,
G R Griffith, and
E A Luce
July 1996,
JPMA. The Journal of the Pakistan Medical Association,
G R Griffith, and
E A Luce
May 1997,
Head & neck,
