Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Management of Permanent Tracheostomal Stenosis by Tracheal Advancement Flap

기관전진피판술을 이용한 영구기관 개구협착의 치료

  • Choi, Jong-Ouck (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Min, Hun-Ki (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Choi, Geon (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Jung, Kwang-Yoon (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Kim, Young-Ho (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Park, Chan (Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Lee, Byeong-Ki (Department of Otolaryngology, Korea Veterans Hospital)
  • 최종욱 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 민헌기 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 최건 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 정광윤 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김영호 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박찬 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이병기 (한국보훈병원 이비인후과)
  • Published : 1995.11.01
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Abstract

Tracheostomal stenosis after total laryngectomy is a distressing complication which con-tributes significantly to both psychosocial and physical morbidity according to nature and severity in laryngectomee. Sternal stenosis will compromise not only optimal air exchange, crust formation but also the ability to clear tracheobronchial secretion, so pneumonia and atelectasis will develop. Having a number of procedure recommended for correction of such stenosis with limited results. We developed new technique which is based on tracheal advancement flap had been ap-plied to 12 patients, successfully. We think that total or partial tracheal advancement flap technique Is useful for widening the stoma and advantages of this method are following. 1. Simple technique. possible under local anesthesia 2. Healthy tracheal ring facilities width control 3. Less chance of refractory scar stenosis 4. Tracheoesophageal shunt can be constructed after the partial advancement flap.

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