AN OPERATION FOR RELIEF OF STENOSIS OF THE STOMA FOLLOWING TOTAL LARYNGECTOMY

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Abstract
Stenosis of the tracheal stoma following total laryngectomy occurs when raw areas are left at the junction between the skin with the tracheal mucosa and when the trachea is insufficiently anchored to the skin, being allowed to retract downward. The stenosis is caused by the formation of constricting circular scar in the space between the tracheal rings and the skin surface. Occasionally, despite good surgical technic, stenosis ensues. The operation described here has given satisfactory results. It is based on the following principles: All of the scar tissue in the stenosed area (fig. 1, a) is excised. The trachea is freed and raised; the tracheal stoma should be elevated to the level of the skin surface. This procedure, which was suggested by Dr. Joseph D. Kelly, is essential. In order better to anchor the trachea, it may be sutured to the adjacent strap muscles as well as to the

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