Tracheostomaplasty: A surgical method for improving retention of an intraluminal stoma button for hands-free tracheoesophageal speech.

Moreno MA; Lewin JS; Hutcheson KABishop Leone JKBarringer DAReece GP

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Tracheostomaplasty: A surgical method for improving retention of an intraluminal stoma button for hands-free tracheoesophageal speech.

机译：Tracheostomaplasty:手术方法改善记忆的管腔内的气孔按钮免提气管的演讲。

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BACKGROUND: We describe a minimally invasive surgical technique, tracheostomaplasty, to overcome anatomical deformities of the stoma that preclude successful retention of a stoma button for hands free tracheoesophageal (TE) speech. METHODS: We conducted a retrospective analysis of 21 patients who underwent tracheostomaplasty after laryngectomy to accommodate an intraluminal valve attachment for hands-free TE speech. RESULTS: Sixteen men and 5 women (median age, 65 years; median follow-up, 27.7 months) underwent tracheostomaplasty; 6 patients developed a mild cellulitis that required therapy and 5 patients required a minor revision surgery. At last follow-up, 15 (71%) patients successfully achieved hands-free TE speech using an intraluminal stoma button. Three patients only retained the intraluminal device to facilitate digital occlusion. Tracheostomaplasty failed in 3 patients because of granulation tissue formation or stomal stenosis. CONCLUSIONS: Tracheostomaplasty is a successful technique to improve intraluminal retention of a stoma button for hands-free TE speech in laryngectomy patients.

机译：背景:我们描述一个微创tracheostomaplasty,手术技术克服解剖畸形的气孔排除成功保留气孔按钮免提气管的(TE)的演讲。方法:我们进行了回顾性分析21个病人tracheostomaplasty喉头切除术适应后管腔内的阀门附件免提TE演讲。结果:16岁男5女(平均年龄,65年;tracheostomaplasty;蜂窝织炎需要治疗和5例需要一个小修改手术。后续,15例(71%)病人成功实现使用一个免提TE演讲管腔内的气孔按钮。保留了管腔内的设备来促进数字阻塞。病人因为肉芽组织形成或小孔的狭窄。Tracheostomaplasty是一个成功的技术提高气孔按钮的管腔内的保留在喉头切除术免提TE的演讲病人。

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《Head and neck: Journal for the sciences and specialities of the head and neck》 |2010年第12期|1674-1680|共7页
作者
Moreno MA; Lewin JS; Hutcheson KABishop Leone JKBarringer DAReece GP;
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作者单位

Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.;

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原文格式 PDF
正文语种英语
中图分类头部及神经外科学;
关键词
Surgical Stomas; hands-free; ButtonSurgical RevisionSpeechLaryngectomyGranulation Tissue;

机译：外科气孔,免提;ButtonSurgicalRevisionSpeechLaryngectomyGranulation组织;

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Tracheostomaplasty: A surgical method for improving retention of an intraluminal stoma button for hands-free tracheoesophageal speech.

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