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A surgical technique for size reduction of exceedingly large tracheal stoma
Afshin Teymoortash1, Stephan Hoch, Jochen A Werner
1Department of Otolaryngology, Head and Neck Surgery, Philipp University, Deutschhausstr. 3, 35037 Marburg, Germany. teymoort@med.uni-marburg.de
Objective:
After tracheostomy some patients may develop a tracheal stoma of excessive size. Effective application of tracheostomy tube is not possible in those patients.
Patients And Methods:
Inserted cannula for protection from aspiration or artificial ventilatory assistance becomes easily displaced in two patients with tracheal stoma of excessive size. A simple surgical technique for treatment of large symptomatic tracheal stoma is described in the present study.
Results:
A complete symptomatic improvement was noted in those patients after size reduction of the stoma using a new surgical technique.
Conclusion:
Surgical size reduction could be helpful in large tracheal stoma in which tracheal tubes could not be secured from dislocation.
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