Add like
Add dislike
Add to saved papers

Double reversing Z-plasty with inferiorly widening stomaplasty for the management of tracheostomal stenosis.

OBJECTIVES: To present a surgical technique for the management of tracheostomal stenosis: double reversing Z-plasty with inferiorly widening stomaplasty.

METHODS: This study was a retrospective review of five patients (four males, one female) submitted for tracheostomal widening procedure using "double reversing Z-plasty with inferiorly widening stomaplasty" at our department between May 2003 and April 2009. Skin incision was made on each lateral side of the stoma. The skin flap was elevated, and the subcutaneous and scar tissue at the infrastomal area was removed along with the redundant skin. Vertical incision was made on each side of the trachea as a mirror image, and the trachea was splayed. The inferiorly mobilized trachea was sutured to the new tissue bed inferior to the stoma, and both skin flaps were secured to the depths of the tracheal cut (double reversing Z-plasty).

RESULTS: All five patients showed widened tracheostoma without any complications, and their phonatory prostheses functioned well after the procedure. In no case was it necessary to keep the tracheal tubes beyond the first day after the surgery.

CONCLUSION: This technique, "double reversing Z-plasty with inferiorly widening stomaplasty", provides a safe procedure for enlarging the tracheostomal size and easing the excessive tension without disturbing the posterosuperior stomal profile and the tracheoesophageal puncture for phonatory prosthesis.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app