Management of Tracheostomal Stenosis : Modified Fish-Mouth Technique

변형된 Fish-Mouth Technique을 이용한 새로운 기관공성형술식

  • Baek, Seung-Jae (Department of Otorhinolaryngology, College of Medicine Kwan Dong University, Myungji Hospital) ;
  • Lim, Jae-Yol (Department of Otorhinolaryngology, College of Medicine Inha University) ;
  • Hong, Hyun-Jun (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Choi, Hong-Shik (Department of Otorhinolaryngology, Yonsei University College of Medicine)
  • 백승재 (관동대학교 의과대학 명지병원 이비인후과학교실) ;
  • 임재열 (인하대학교 의과대학 이비인후과학교실) ;
  • 홍현준 (연세대학교 의과대학 이비인후과학교실) ;
  • 최홍식 (연세대학교 의과대학 이비인후과학교실)
  • Published : 2010.05.31

Abstract

Tracheostomal stenosis after total laryngectomy is brothersome problem to surgeon and patient. To prevent tracheostomal stenosis, tension around the tracheostoma must be released. Advancement flap, V-Y inset and Z-plasty were suggested as solution to tracheostomal stenosis. But such methods need elevation of superior flap and it is very difficult when the patients received radiotherapy and has high change of developing pharyngocutaneous fistula. We suggested new stomaplasty technique which named "Modified Fish-Mouth Technique" that does not need to elevate superior skin flap.

Keywords

References

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