A novel permanent tracheostomy technique for prevention of stomal stenosis (triangular tracheostomy)

Suzuki, Masami; Tsunoda, Atsunobu; Shirakura, Satoshi; Sumi, Takuya; Nishijima, Wataru; Kishimoto, Seiji

doi:10.1016/j.anl.2009.11.007

Cited by 14 publications

(5 citation statements)

References 12 publications

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“…In temporary tracheostomy, silicone tubes are inserted into the stoma temporarily, and the tubes can be removed once the cause of the upper airway obstruction is resolved (1,5,7). On the other hand, in permanent tracheostomy, the stoma is formed by permanently resecting parts of the tracheal cartilages (12). Although temporary tracheostomy with medical treatment is recommended for the treatment of arytenoid chondritis (7,10), in this case, the horse had not responded to previous medical treatment; thus, a permanent tracheostomy was selected, and the result met our expectations.…”

Section: Discussionmentioning

confidence: 99%

Permanent Tracheostomy in a Thoroughbred Mare with Arytenoid Chondritis

Park

Lee

et al. 2021

J Vet Clin

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A 10-year-old Thoroughbred mare was referred to the Jeju National University Equine Hospital with roaring, dyspnea, and weight loss. On endoscopic examination, the horse was diagnosed with right arytenoid chondritis. Surgical treatment was selected due to the failure of a previous medical treatment. Permanent tracheostomy was performed in a standing position. The horse was restrained and tied in a proper position in the stock. The cranial parts of the 2nd to 5th tracheal cartilages were resected, as were the associated skin, mucosa, muscle, and cartilages. After the stoma was formed, external mucosa and skin were sutured using a simple interrupted method. The horse was hospitalized for 22 days receiving postoperative care including antibiotics, non-steroidal anti-inflammatory drugs, dressing as required, and was pregnant six months after the surgery. A permanent tracheostomy is thought to be effective in horses with diseases causing upper respiratory tract obstruction.

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Section: Discussionmentioning

confidence: 99%

Permanent Tracheostomy in a Thoroughbred Mare with Arytenoid Chondritis

Park

Lee

et al. 2021

J Vet Clin

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“…The first one is related to the anchoring of the trachea and the formation of the stoma. Suturing the trachea laterally to the musculature prevents stoma stenosis or the stoma taking on an oval shape with a vertical longer axis closing the VP [ 37 , 38 , 39 ]. It is a simple technique, without described complications, and is reproducible.…”

Section: Evidence-based Recommendationsmentioning

confidence: 99%

Evidence-Based Recommendations in Primary Tracheoesophageal Puncture for Voice Prosthesis Rehabilitation

Mayo-Yáñez,

Klein-Rodríguez,

López-Eiroa

et al. 2024

Healthcare

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Head and neck cancer, the seventh most common cancer worldwide, often affects the larynx, with a higher incidence in men. Total laryngectomy, a common treatment, results in the loss of phonation, and tracheoesophageal voice rehabilitation is the current rehabilitation method of choice. Despite ongoing debates regarding the timing of tracheoesophageal puncture (TEP), a crucial procedure for voice prosthesis placement, the secondary puncture continues to be the preferred choice in the majority of cases. This underscores the persistent controversy and the absence of consensus in this field. The aim of this manuscript was to define evidence-based recommendations regarding the procedure of primary TEP with voice prosthesis placement, establish the conditions and requirements for performing primary TEP, determine the indications and contraindications of primary TEP, as well as to define the complications and management of primary TEP. A total of 19 statements were formulated, with 78.95% of them having a Level of Evidence 4 and a Grade of Recommendation C. There is not sufficient evidence comparing the outcomes of primary TEP versus secondary TEP. Future studies with robust methodologies are needed to clarify the role of primary and secondary TEP in the rehabilitation of patients undergoing total laryngectomy.

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“…A straight transection of the trachea (Figure 5A) results in a smaller diameter and a higher stenosis rate compared to the beveled technique (Figure 5B) [93]. The stoma can be created with a much greater diameter when the tracheal opening is extended to the lower neck by four or five tracheal rings, forming a triangular shape (Figure 5C) [94]. The triangular stoma technique fully prevents stenosis, but its size and shape are troublesome for speech using stoma occlusion.…”

Section: Tracheostoma Creationmentioning

confidence: 99%

Total Laryngectomy: A Review of Surgical Techniques

Chotipanich

2021

Cureus

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Since the first total laryngectomy was performed in the late 18th century, several improvements and variations in surgical techniques have been proposed for this procedure. The surgical techniques employed in total laryngectomy have not been comprehensively discussed to date. Thus, the main objective of this article was to address controversial aspects related to this procedure and compare different surgical techniques used for a total laryngectomy procedure from the beginning to the end.Although the management paradigms in laryngeal and hypopharyngeal squamous cell carcinomas have shifted to organ-preserving chemoradiotherapy protocols, total laryngectomy still plays a prominent role in the treatment of advanced and recurrent tumors. The increased incidence of complications associated with salvage total laryngectomy has driven efforts to improve the surgical techniques in various aspects of the operation. Loss of voice and impaired swallowing are the most difficult challenges to be overcome in laryngectomies, and the introduction of tracheoesophageal voice prostheses has made an enormous difference in postoperative rehabilitation and quality of life. Advancements in reconstruction techniques, tumor control, and metastatic management, such as prophylactic neck treatments and paratracheal nodal dissection (PTND), as well as the use of thyroid gland-preserving total laryngectomy in selected patients have all led to the increasing success of modern total laryngectomy. Several conclusions regarding the benchmarking of surgical techniques cannot be drawn. Issues regarding total laryngectomy are still open for discussion, and the technique will continue to require improvement in the near future.

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A novel permanent tracheostomy technique for prevention of stomal stenosis (triangular tracheostomy)

Cited by 14 publications

References 12 publications

Permanent Tracheostomy in a Thoroughbred Mare with Arytenoid Chondritis

Permanent Tracheostomy in a Thoroughbred Mare with Arytenoid Chondritis

Evidence-Based Recommendations in Primary Tracheoesophageal Puncture for Voice Prosthesis Rehabilitation

Total Laryngectomy: A Review of Surgical Techniques

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