A surgical technique for size reduction of exceedingly large tracheal stoma

Abstract: Objective: After tracheostomy some patients may develop a tracheal stoma of excessive size. Effective application of tracheostomy tube is not possible in those patients. Patients and methods: Inserted cannula for protection from aspiration or artificial ventilatory assistance becomes easily displaced in two patients with tracheal stoma of excessive size. A simple surgical technique for treatment of large symptomatic tracheal stoma is described in the present study. Results: A complete symptomatic improvement was noted in those patients after size reduction of the stoma using a new surgical technique. Conclusion: Surgical size reduction could be helpful in large tracheal stoma in which tracheal tubes could not be secured from dislocation. [Copyright &y& Elsevier]