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Korean Journal of Head & Neck Oncology 2010;26(1):27-29.
Published online May 30, 2010.
Management of Tracheostomal Stenosis:Modified Fish-Mouth Technique
Seung Jae Baek;Jae-Yol Lim;Hyun Jun Hong;Hong-Shik Choi
변형된 Fish-Mouth Technique을 이용한 새로운 기관공성형술식
백승재;임재열;홍현준;최홍식
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 pharyngo-cutaneous fistula. We suggested new stomaplasty technique which named “Modified Fish-Mouth Technique” that does not need to elevate superior skin flap.
Key Words: Laryngectomy, Stomal stenosis, Stomaplasty
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