Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-18T10:36:05.760Z Has data issue: false hasContentIssue false

Carbon dioxide laser stomaplasty for tracheostomal stenosis

Published online by Cambridge University Press:  29 June 2007

A. Sani*
Affiliation:
Department of Otolaryngology, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
*
Address for correspondence: Dr Abdullah Sani, Department of Otolaryngology, Hospital UKM, Jin Tenteram, Cheras, 56000 Kuala Lumpur, Malaysia. Fax: (603) 9737840 e-mail: sani@medic.ukm.my

Abstract

A method of treating tracheostomal stenosis post-laryngectomy is described. The carbon dioxide (CO2) laser is used to fashion and ablate two triangular areas lateral to the stenosed stoma to provide an immediate enlarged stoma for comfortable breathing. This simple procedure is done under local anaesthesia, is almost bloodless, safe and takes just 10 minutes. Over the last five years eight patients underwent this procedure and seven had a satisfactory stoma without the need to use a tracheostomy tube.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Griffith, G. R., Luce, E. A. (1982) Tracheal stomal stenosis after laryngectomy. Plastic Reconstructive Surgery 70: 694698.Google Scholar
Lam, K. H., Wei, W. I., Wong, J., Ong, G. B. (1983) Tracheostoma construction during laryngectomy – a method to prevent stenosis. Laryngoscope 93: 212215.Google Scholar
Nigam, A., Campbell, J. B., Dasgupta, A. R. (1993) Does the location of the laryngectomy stoma influence its ultimate size? Clinical Otolaryngology 18: 193195.Google Scholar
Panje, W. R., Kitt, V. V. (1985) Tracheal stoma reconstruction. Archives of Otolaryngology 111: 190192.Google Scholar
Wax, M. K., Touma, B. J., Ramadan, H. H. (1995) Tracheostomal stenosis after laryngectomy: incidence and predisposing factors. Otolaryngology – Head and Neck Surgery 113: 242247.Google Scholar