A surgical technique for size reduction of exceedingly large tracheal stoma.

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.