Repair of the Stenosed Tracheostoma -Experience of W.W. Montgomery's Method

We have got thoroughly satisfactory results from a W.W. Montgomery's method, used an inverted-U skin flap repair, for the reconstruction of three cases of the stenosed tracheostoma following total larygectomy. The method is best applied to the reconstruction of both the concentrically stenosed and “inferior shelf” type of stenosis and characterized by the inverted-U incision and the suturing to advance the skin flap to effect lateral pull on the stoma. Recurrent stenosis of the stoma will be prevented by a proper stoma construction, nylon sutures and application of the antibiotic ointment to the skin edge to prevent crusting and local infection, but we must not forget that most of the causes of stenosis may be related to the faulty manipulation of stoma at the first operation.