Lateral expansion of the trachea tracheal stoma after total laryngectomy to prevent cervical stoma stenosis.docVIP

 PAGE \* MERGEFORMAT 9 Lateral expansion of the trachea tracheal stoma after total laryngectomy to prevent cervical stoma stenosis Author: Ji-hui, Huang Chun, Sun Baobin, Xu Feng, Zhang Fengbing, Gu Jianxing [Abstract] Objective: To study the prevention of total laryngectomy tracheal stoma narrow approach. Methods: 33 patients after total laryngectomy stoma using an improved method of tracheal stump about bilateral longitudinal cut, about 2cm, the bottom of the tracheal stoma triangular flap of skin design, embedded stitching. Results: All patients after 3 months are no longer with a pipe, there is no stoma stenosis, no breathing difficulties, the quality of life improved significantly. Conclusion: This improved lateral-type tracheal stoma method can prevent tracheostomy after total laryngectomy fistula stenosis. [Keywords:] tracheal lateral; tracheal stoma; total laryngectomy; tracheal stoma stenosis Total laryngectomy is the treatment of advanced laryngeal cancer, one of the primary means of surgical resection of the cricoid cartilage often, high incidence of cervical tracheal stoma stenosis, causing varying degrees of difficulty breathing, affecting the respiratory tract mucous membrane of the ciliary epithelium movement, so that the trachea, bronchus secretions discharged blocked endotracheal mucus plug and scab skin blocking the airway, and may be asphyxiation caused by life-threatening, many patients had long-term with a pipe, affect their quality of life. I Branch in April 1996 to March 2005, 33 cases of patients with total laryngectomy Across the trachea stump bilateral lateral incision, and the corresponding tracheal stoma suture embedded in the bottom of the design of improved triangular flap tracheal fistula mouth surgery type, to achieve a satisfactory clinical results are reported below. A clinical data 11 General Information 33 cases in men and 31 cases, 2 female, aged 42 to 82 years, with an average 64-year-old. Of which 32 cases of laryngea