Case Report
 

Using A Modified Apron Tracheostomy to Prevent Stoma Stenosis Post a Total Laryngectomy

 
Author(s): Chun-Tien Chen1, Ying-Liang Chou2,3, Hsing-Won Wang* 1,3,4
1Department of Otolaryngology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan, Republic of China
2Department of Otolaryngology–Head and Neck Surgery, Taichung Armed Forces General Hospital, Taichung, Taiwan, Republic of China.
3Department of Otolaryngology–Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China
4The Graduate Institute of Clinical Medicine and Department of Otolaryngology, College of Medicine, Taipei Medical University–Shuang Ho Hospital, Taipei, Taiwan, Republic of China

Hsing-Won Wang

Hsing-Won Wang, Department of Otolaryngology, Taipei Medical University-Shuang Ho Hospital, No. 291, Jhong-Jheng Road, Jhonghe Distric, New Taipei City, Taiwan 23561, R.O.C. Tel: +886-2-22490088 ext 2903, Fax: +886-2-6007866.
Citation: Chen CT, Chou YL, Wang HW (2023) Using A Modified Apron Tracheostomy to Prevent Stoma Stenosis Post a Total Laryngectomy. J Sur Re Rep: JSRR-108.
Copyright: © 2023 Chen CT. This is an open-access article distributed under the terms of the a Creative Commons Attribution 4.0 International (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received Date: Mar 21, 2023
Accepted Date: Mar 31, 2023
Published Date: Apr 05, 2023
Abstract
This study describes a surgical procedure that can be applied at initial stomal construction after a total laryngectomy that involves cutting the posterior tracheal mucosa and then interdigitating a modified apron skin-thick superiorly based flap onto a similar recipient area in the higher posterior tracheal wall. A glottic carcinoma patient (cT2N0M0, stage II) was treated using 6996 cGy of radiation but one year later, there was a recurrence with left vocal cord fixation. A double apron incision salvage total laryngectomy was successfully completed and the patient has had frequent follow-up care in the outpatient center without complications. Since then, there has been a satisfactory stoma opening without stenosis for more than three years.
Keywords: apron tracheostomy; stenosis; total laryngectomy.
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