Double Reversing Z Plasty for Tracheastomal Stenosis After Total Laryngectomy
INTRODUCTION[|]To assess the efficacy of double reversing Z plasty technique for stomaplasty in patients who had total laryngectomy.[¤]METHODS[|]his was retrospective chart review of 20 patients having tracheostomal widening procedure`double reversing Z plasty` at our department between August 2016...
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Format: | Article |
Language: | English |
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KARE Publishing
2020-10-01
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Series: | Southern Clinics of Istanbul Eurasia |
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Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-61224 |
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author | Burak Karabulut Hakan Avcı |
author_facet | Burak Karabulut Hakan Avcı |
author_sort | Burak Karabulut |
collection | DOAJ |
description | INTRODUCTION[|]To assess the efficacy of double reversing Z plasty technique for stomaplasty in patients who had total laryngectomy.[¤]METHODS[|]his was retrospective chart review of 20 patients having tracheostomal widening procedure`double reversing Z plasty` at our department between August 2016 and October 2019. Widest length of the stoma was measured in mm for each patient preoperatively and at postoperative 1st month respectively. The results were compared.
[¤]RESULTS[|]All 20 patients showed statistically significant widened tracheostoma without any complication. Mean diameter of the stoma was measured as 12+-1.2 mm (range between10−14) and 21+-1.3 (range between 19−24) mm preoperatively and postoperatively, respectively. The difference was statistically meaningful (p=0.01). 10 of patients (50%) had voice prosthesis in previous total laryngectomy procedure and their phonatory protshesis functioned well after the surgery. All patients were discharged at postoperative day 1. There was no need to wear laryngeal tube which shows successful amelioration of the disease in postoperative period.
[¤]DISCUSSION AND CONCLUSION[|] Double reversing stomaplasty is an effective technique to manage tracheastomal stenosis in total laryngectomized patients without any complication specific to the technique.[¤] |
first_indexed | 2024-04-10T11:54:57Z |
format | Article |
id | doaj.art-7d27011256df4e8d977a7269bfa68888 |
institution | Directory Open Access Journal |
issn | 2587-0998 |
language | English |
last_indexed | 2024-04-10T11:54:57Z |
publishDate | 2020-10-01 |
publisher | KARE Publishing |
record_format | Article |
series | Southern Clinics of Istanbul Eurasia |
spelling | doaj.art-7d27011256df4e8d977a7269bfa688882023-02-15T16:16:51ZengKARE PublishingSouthern Clinics of Istanbul Eurasia2587-09982020-10-0131326126410.14744/scie.2020.61224SCIE-61224Double Reversing Z Plasty for Tracheastomal Stenosis After Total LaryngectomyBurak Karabulut0Hakan Avcı1Department of Otolaryngology, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyDepartment of Otolaryngology, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, TurkeyINTRODUCTION[|]To assess the efficacy of double reversing Z plasty technique for stomaplasty in patients who had total laryngectomy.[¤]METHODS[|]his was retrospective chart review of 20 patients having tracheostomal widening procedure`double reversing Z plasty` at our department between August 2016 and October 2019. Widest length of the stoma was measured in mm for each patient preoperatively and at postoperative 1st month respectively. The results were compared. [¤]RESULTS[|]All 20 patients showed statistically significant widened tracheostoma without any complication. Mean diameter of the stoma was measured as 12+-1.2 mm (range between10−14) and 21+-1.3 (range between 19−24) mm preoperatively and postoperatively, respectively. The difference was statistically meaningful (p=0.01). 10 of patients (50%) had voice prosthesis in previous total laryngectomy procedure and their phonatory protshesis functioned well after the surgery. All patients were discharged at postoperative day 1. There was no need to wear laryngeal tube which shows successful amelioration of the disease in postoperative period. [¤]DISCUSSION AND CONCLUSION[|] Double reversing stomaplasty is an effective technique to manage tracheastomal stenosis in total laryngectomized patients without any complication specific to the technique.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-61224stomaplastytotal laryngectomy; tracheal stenosis. |
spellingShingle | Burak Karabulut Hakan Avcı Double Reversing Z Plasty for Tracheastomal Stenosis After Total Laryngectomy Southern Clinics of Istanbul Eurasia stomaplasty total laryngectomy; tracheal stenosis. |
title | Double Reversing Z Plasty for Tracheastomal Stenosis After Total Laryngectomy |
title_full | Double Reversing Z Plasty for Tracheastomal Stenosis After Total Laryngectomy |
title_fullStr | Double Reversing Z Plasty for Tracheastomal Stenosis After Total Laryngectomy |
title_full_unstemmed | Double Reversing Z Plasty for Tracheastomal Stenosis After Total Laryngectomy |
title_short | Double Reversing Z Plasty for Tracheastomal Stenosis After Total Laryngectomy |
title_sort | double reversing z plasty for tracheastomal stenosis after total laryngectomy |
topic | stomaplasty total laryngectomy; tracheal stenosis. |
url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=scie&un=SCIE-61224 |
work_keys_str_mv | AT burakkarabulut doublereversingzplastyfortracheastomalstenosisaftertotallaryngectomy AT hakanavcı doublereversingzplastyfortracheastomalstenosisaftertotallaryngectomy |