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

✍ Scribed by Mauricio A. Moreno; Jan S. Lewin; Katherine A. Hutcheson; Julie K. Bishop Leone; Denise A. Barringer; Gregory P. Reece

• Book ID: 102234783
• Publisher: John Wiley and Sons
• Year: 2010
• Tongue: English
• Weight: 228 KB
• Volume: 32
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/hed.21379

✦ Synopsis

Abstract

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. © 2010 Wiley Periodicals, Inc. Head Neck, 2010