Stenosis of Tracheostoma

Tracheostomal Stenosis after Laryngectomy: Incidence and Predisposing Factors

“…Radical neck dissection may theoretically decrease this incidence because of the removal of the prominent head of the sternomastoid muscle. These prominent heads of the sternomastoid muscle contribute to the development of the vertical‐type stomal stenosis as described by Montgomery 15 . Most of our patients had modified radical neck dissections with preservation of the sternomastoid muscle.…”

“…The tracheostoma may be placed within the main incision or through a separate stab incision through the lower cervical skin flap. Most authors in this country place the stoma in the main incision site 4,7,15,16 . At our institution 83% of stomas were replaced in the main incision, whereas 17% were placed below it.…”

Tracheostomal Stenosis after Laryngectomy: Incidence and Predisposing Factors

“…Radical neck dissection may theoretically decrease this incidence because of the removal of the prominent head of the sternomastoid muscle. These prominent heads of the sternomastoid muscle contribute to the development of the vertical‐type stomal stenosis as described by Montgomery 15 . Most of our patients had modified radical neck dissections with preservation of the sternomastoid muscle.…”

“…The tracheostoma may be placed within the main incision or through a separate stab incision through the lower cervical skin flap. Most authors in this country place the stoma in the main incision site 4,7,15,16 . At our institution 83% of stomas were replaced in the main incision, whereas 17% were placed below it.…”

A novel technique for management of stenosis of the postlaryngectomy stoma with preservation of a functional tracheoesophageal puncture following tracheal resection

“…Montgomery later presented surgical approaches to address three different types of stenosis: vertical slit, concentric, and inferior shelf stenosis. The described techniques range from double Z‐plasty to inverted U skin flap repair 9 . Other techniques have surfaced in the literature over time, including the use of a V‐Y advancement flap, circumferential excision with bilateral advancement flaps, and radial incision and closure 3,10 .…”

The end of tracheostomal stenosis? Introducing the fish mouth technique

“…5 Failure to release the sternal heads of the sternocleidomastoid may result in lateral compression or vertical slits. 6…”

“…5 Failure to release the sternal heads of the sternocleidomastoid may result in lateral compression or vertical slits. 6 Non-absorbable monofilament sutures are preferred to absorbable braided sutures, as the former glide easily and have fewer infection risks, with no pits between filaments to harbour bacteria. 7 Interrupted sutures are favoured, as a failure in one knot will not be catastrophic to the integrity of the other knots.…”

Tracheostomal Stenosis after Laryngectomy: Incidence and Predisposing Factors

“…Radical neck dissection may theoretically decrease this incidence because of the removal of the prominent head of the sternomastoid muscle. These prominent heads of the sternomastoid muscle contribute to the development of the vertical‐type stomal stenosis as described by Montgomery 15 . Most of our patients had modified radical neck dissections with preservation of the sternomastoid muscle.…”

“…The tracheostoma may be placed within the main incision or through a separate stab incision through the lower cervical skin flap. Most authors in this country place the stoma in the main incision site 4,7,15,16 . At our institution 83% of stomas were replaced in the main incision, whereas 17% were placed below it.…”

A novel technique for management of stenosis of the postlaryngectomy stoma with preservation of a functional tracheoesophageal puncture following tracheal resection

“…Montgomery later presented surgical approaches to address three different types of stenosis: vertical slit, concentric, and inferior shelf stenosis. The described techniques range from double Z‐plasty to inverted U skin flap repair 9 . Other techniques have surfaced in the literature over time, including the use of a V‐Y advancement flap, circumferential excision with bilateral advancement flaps, and radial incision and closure 3,10 .…”

The end of tracheostomal stenosis? Introducing the fish mouth technique

“…5 Failure to release the sternal heads of the sternocleidomastoid may result in lateral compression or vertical slits. 6…”

“…5 Failure to release the sternal heads of the sternocleidomastoid may result in lateral compression or vertical slits. 6 Non-absorbable monofilament sutures are preferred to absorbable braided sutures, as the former glide easily and have fewer infection risks, with no pits between filaments to harbour bacteria. 7 Interrupted sutures are favoured, as a failure in one knot will not be catastrophic to the integrity of the other knots.…”

Tracheostomal Stenosis after Laryngectomy: Incidence and Predisposing Factors

“…Radical neck dissection may theoretically decrease this incidence because of the removal of the prominent head of the sternomastoid muscle. These prominent heads of the sternomastoid muscle contribute to the development of the vertical‐type stomal stenosis as described by Montgomery 15 . Most of our patients had modified radical neck dissections with preservation of the sternomastoid muscle.…”

“…The tracheostoma may be placed within the main incision or through a separate stab incision through the lower cervical skin flap. Most authors in this country place the stoma in the main incision site 4,7,15,16 . At our institution 83% of stomas were replaced in the main incision, whereas 17% were placed below it.…”

A novel technique for management of stenosis of the postlaryngectomy stoma with preservation of a functional tracheoesophageal puncture following tracheal resection

“…Montgomery later presented surgical approaches to address three different types of stenosis: vertical slit, concentric, and inferior shelf stenosis. The described techniques range from double Z‐plasty to inverted U skin flap repair 9 . Other techniques have surfaced in the literature over time, including the use of a V‐Y advancement flap, circumferential excision with bilateral advancement flaps, and radial incision and closure 3,10 .…”

The end of tracheostomal stenosis? Introducing the fish mouth technique

“…5 Failure to release the sternal heads of the sternocleidomastoid may result in lateral compression or vertical slits. 6…”

“…5 Failure to release the sternal heads of the sternocleidomastoid may result in lateral compression or vertical slits. 6 Non-absorbable monofilament sutures are preferred to absorbable braided sutures, as the former glide easily and have fewer infection risks, with no pits between filaments to harbour bacteria. 7 Interrupted sutures are favoured, as a failure in one knot will not be catastrophic to the integrity of the other knots.…”