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KMID : 0602819950010010136
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Korean Journal of Bronchoesophagology
1995 Volume.1 No. 1 p.136 ~ p.141
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Management of Permanent Tracheostomal Stenosis by Tracheal Advancement Flap
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최종욱
민헌기/최건/정광윤/김영호/박찬/이병기
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Abstract
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Tracheostomal stenosis after total laryngectomy is a distressing complication which
contributes significantly to both psychosocial and physical morbidity according to nature and
severity in laryngectomee. Stomal stenosis will compromise not only optimal air exhange,
crust formation but also the ability to clear tracheobronchial secretion, so pneumonia and
atelectasis will develop. Having a number of procedure recommended for correction of such
stenosis with limited results.
@ES We developed new technique which is based on tracheal advancement flap had been
applied to 12 patients, successfully. We think that total or partial tracheal advancement flap
techinuqe is useful for widening the stoma and advantages of this method are following:
@EN 1. Simple technique: possible under local anesthesia
2. Healthy tracheal ring facilities width control
3. Less chance of refractory scar stenosis
4. Tracheoesophageal shunt can be constructed after the partial advancement flap.
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