Surgical correction of tracheostomal stenosis

ABSTRACT

Tracheostomal stenosis is a frequent complication following total laryngectomy. The problems created by tracheostomal stenosis are the result of reduced airflow and consequent turbulence. Many authors have studied the etiological factors for the onset of stomal stenosis, and a number of procedures have been recommended for the surgical correction of such stenosis. In this study, analysis of 11 patients who underwent surgical correction of tracheostomal stenosis is presented. The surgical technique utilized in this study involves 2 lateral vertical tracheal cuts, with interposing 2 lateral flaps from the skin caudal to the tracheostoma. The results were encouraging and restenosis of the tracheostoma occurcd in only one patient