Tracheal advancement flap for postlaryngectomy stomal stenosis
Background Tracheal stenosis can be a troubling consequence of laryngectomy. Some revision techniques disturb the posterior stoma site of a current or planned tracheoesophageal puncture (TEP). Methods A revision technique which advances the trachea out of the stoma, divides the anterior tracheal wal...
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| Veröffentlicht in: | Head & neck 1997-05, Vol.19 (3), p.211-215 |
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| creator | Campbell, Bruce H. Rubach, Bryan W. McAuliffe, Timothy L. Freije, James E. |
| description | Background
Tracheal stenosis can be a troubling consequence of laryngectomy. Some revision techniques disturb the posterior stoma site of a current or planned tracheoesophageal puncture (TEP).
Methods
A revision technique which advances the trachea out of the stoma, divides the anterior tracheal wall, and leaves the posterior tracheal wall undisturbed was designed. The paper describes the technique in detail. “Success” was defined as producing a stable, trouble‐free stoma requiring no stenting; “partial success” as an improved stoma requiring some stenting; and “failure” as no improvement and continuous stenting.
Results
Fifteen patients underwent the procedure. Median time from laryngectomy to revision was 10 months. Preoperative to postoperative median stoma size increased from 63 mm2 to 135 mm2. Seven patients were classified as successful, six patients were partially successful, and two patients had no improvement.
Conclusion
The tracheal advancement flap is a safe technique for the laryngectomy patient who has undergone or might undergo voice restoration. © 1997 John Wiley & Sons, Inc. Head Neck 19: 211–215, 1997. |
| doi_str_mv | 10.1002/(SICI)1097-0347(199705)19:3<211::AID-HED8>3.0.CO;2-5 |
| format | Article |
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Tracheal stenosis can be a troubling consequence of laryngectomy. Some revision techniques disturb the posterior stoma site of a current or planned tracheoesophageal puncture (TEP).
Methods
A revision technique which advances the trachea out of the stoma, divides the anterior tracheal wall, and leaves the posterior tracheal wall undisturbed was designed. The paper describes the technique in detail. “Success” was defined as producing a stable, trouble‐free stoma requiring no stenting; “partial success” as an improved stoma requiring some stenting; and “failure” as no improvement and continuous stenting.
Results
Fifteen patients underwent the procedure. Median time from laryngectomy to revision was 10 months. Preoperative to postoperative median stoma size increased from 63 mm2 to 135 mm2. Seven patients were classified as successful, six patients were partially successful, and two patients had no improvement.
Conclusion
The tracheal advancement flap is a safe technique for the laryngectomy patient who has undergone or might undergo voice restoration. © 1997 John Wiley & Sons, Inc. Head Neck 19: 211–215, 1997.</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/(SICI)1097-0347(199705)19:3<211::AID-HED8>3.0.CO;2-5</identifier><identifier>PMID: 9142521</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Biological and medical sciences ; Carcinoma, Squamous Cell - surgery ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Laryngeal Neoplasms - surgery ; laryngectomy ; Laryngectomy - adverse effects ; Medical sciences ; Reoperation ; revision ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Surgical Flaps ; Tracheal Stenosis - etiology ; Tracheal Stenosis - surgery ; tracheoesophageal puncture ; tracheostenosis ; tracheostoma ; Treatment Outcome ; Wound Healing - physiology</subject><ispartof>Head & neck, 1997-05, Vol.19 (3), p.211-215</ispartof><rights>Copyright © 1997 John Wiley & Sons, Inc.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3428-b6f5cc4466c26cc9647c33216afdffd6f84ae24c4cd70f2f23fa6795d76d501a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291097-0347%28199705%2919%3A3%3C211%3A%3AAID-HED8%3E3.0.CO%3B2-5$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291097-0347%28199705%2919%3A3%3C211%3A%3AAID-HED8%3E3.0.CO%3B2-5$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2652030$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9142521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Campbell, Bruce H.</creatorcontrib><creatorcontrib>Rubach, Bryan W.</creatorcontrib><creatorcontrib>McAuliffe, Timothy L.</creatorcontrib><creatorcontrib>Freije, James E.</creatorcontrib><title>Tracheal advancement flap for postlaryngectomy stomal stenosis</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background
Tracheal stenosis can be a troubling consequence of laryngectomy. Some revision techniques disturb the posterior stoma site of a current or planned tracheoesophageal puncture (TEP).
Methods
A revision technique which advances the trachea out of the stoma, divides the anterior tracheal wall, and leaves the posterior tracheal wall undisturbed was designed. The paper describes the technique in detail. “Success” was defined as producing a stable, trouble‐free stoma requiring no stenting; “partial success” as an improved stoma requiring some stenting; and “failure” as no improvement and continuous stenting.
Results
Fifteen patients underwent the procedure. Median time from laryngectomy to revision was 10 months. Preoperative to postoperative median stoma size increased from 63 mm2 to 135 mm2. Seven patients were classified as successful, six patients were partially successful, and two patients had no improvement.
Conclusion
The tracheal advancement flap is a safe technique for the laryngectomy patient who has undergone or might undergo voice restoration. © 1997 John Wiley & Sons, Inc. Head Neck 19: 211–215, 1997.</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>laryngectomy</subject><subject>Laryngectomy - adverse effects</subject><subject>Medical sciences</subject><subject>Reoperation</subject><subject>revision</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Surgical Flaps</subject><subject>Tracheal Stenosis - etiology</subject><subject>Tracheal Stenosis - surgery</subject><subject>tracheoesophageal puncture</subject><subject>tracheostenosis</subject><subject>tracheostoma</subject><subject>Treatment Outcome</subject><subject>Wound Healing - physiology</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1rFDEUhoMotVZ_gjAXIu3FrPnOZC2FMlvbhcVFXCl4c0gziY7Ox5rM2u6_N-Mu64WCNzk5nDdv3jxB6JzgCcGYvjn9OC_nZwRrlWPG1SnRWmFxRvSUnVNCptPL-Sy_uZoVF2yCJ-XyLc3FI3R8OPB43HOWM6z4U_Qsxm8YYyY5PUJHmnAqKDlGF6tg7FdnmsxUP01nXeu6IfONWWe-D9m6j0Njwrb74uzQt9sspjWJ4-C6PtbxOXriTRPdi309QZ_eXa3Km3yxvJ6Xl4vcMk6L_E56YS3nUloqrdWSK8sYJdL4yvtK-oIbR7nltlLYU0-ZN1JpUSlZCUwMO0Gvd77r0P_YuDhAW0frmsZ0rt9EUIXWkjCShKud0IY-xuA8rEPdphcAwTBiBRixwkgJRkqww5oKMEhYARJWGLGmHkO5BAoi2b7c37-5a111MN1zTPNX-7mJ1jQ-JJR1PMioFBQz_Cfdfd247V_R_pPsH8F-98k239nW6V8eDrYmfAepmBJw-_4aipmc3X5YUPjMfgEo2q3Q</recordid><startdate>199705</startdate><enddate>199705</enddate><creator>Campbell, Bruce H.</creator><creator>Rubach, Bryan W.</creator><creator>McAuliffe, Timothy L.</creator><creator>Freije, James E.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>John Wiley & Sons</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199705</creationdate><title>Tracheal advancement flap for postlaryngectomy stomal stenosis</title><author>Campbell, Bruce H. ; Rubach, Bryan W. ; McAuliffe, Timothy L. ; Freije, James E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3428-b6f5cc4466c26cc9647c33216afdffd6f84ae24c4cd70f2f23fa6795d76d501a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>laryngectomy</topic><topic>Laryngectomy - adverse effects</topic><topic>Medical sciences</topic><topic>Reoperation</topic><topic>revision</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Surgical Flaps</topic><topic>Tracheal Stenosis - etiology</topic><topic>Tracheal Stenosis - surgery</topic><topic>tracheoesophageal puncture</topic><topic>tracheostenosis</topic><topic>tracheostoma</topic><topic>Treatment Outcome</topic><topic>Wound Healing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Campbell, Bruce H.</creatorcontrib><creatorcontrib>Rubach, Bryan W.</creatorcontrib><creatorcontrib>McAuliffe, Timothy L.</creatorcontrib><creatorcontrib>Freije, James E.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Campbell, Bruce H.</au><au>Rubach, Bryan W.</au><au>McAuliffe, Timothy L.</au><au>Freije, James E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tracheal advancement flap for postlaryngectomy stomal stenosis</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>1997-05</date><risdate>1997</risdate><volume>19</volume><issue>3</issue><spage>211</spage><epage>215</epage><pages>211-215</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background
Tracheal stenosis can be a troubling consequence of laryngectomy. Some revision techniques disturb the posterior stoma site of a current or planned tracheoesophageal puncture (TEP).
Methods
A revision technique which advances the trachea out of the stoma, divides the anterior tracheal wall, and leaves the posterior tracheal wall undisturbed was designed. The paper describes the technique in detail. “Success” was defined as producing a stable, trouble‐free stoma requiring no stenting; “partial success” as an improved stoma requiring some stenting; and “failure” as no improvement and continuous stenting.
Results
Fifteen patients underwent the procedure. Median time from laryngectomy to revision was 10 months. Preoperative to postoperative median stoma size increased from 63 mm2 to 135 mm2. Seven patients were classified as successful, six patients were partially successful, and two patients had no improvement.
Conclusion
The tracheal advancement flap is a safe technique for the laryngectomy patient who has undergone or might undergo voice restoration. © 1997 John Wiley & Sons, Inc. Head Neck 19: 211–215, 1997.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>9142521</pmid><doi>10.1002/(SICI)1097-0347(199705)19:3<211::AID-HED8>3.0.CO;2-5</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Carcinoma, Squamous Cell - surgery Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Laryngeal Neoplasms - surgery laryngectomy Laryngectomy - adverse effects Medical sciences Reoperation revision Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Surgical Flaps Tracheal Stenosis - etiology Tracheal Stenosis - surgery tracheoesophageal puncture tracheostenosis tracheostoma Treatment Outcome Wound Healing - physiology |
| title | Tracheal advancement flap for postlaryngectomy stomal stenosis |
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