Post-laryngectomy tracheostome stenosis--etiology and treatment

The etiology of post-laryngectomy tracheostome stenosis is reviewed. This condition is not common if preventive measures are used at the time of surgery and during the postoperative period. However stenosis will occasionally occur. We have not been satisfied with standard revision techniques but have had success with radical excision of the stenosed area followed by reconstruction with superiorly based bilateral pedicle flaps.