European Surgical Research · Published 2026-04-24 · DOI 10.1159/000550547
<p>Introduction: Here we presented a new surgical technique for tracheostomy using the platysma myocutaneous flap after total laryngectomy and analyzed its results and follow-up data. Methods: In this innovative technique, longitudinal incisions are made on the posterior tracheal wall with a platysma myocutaneous flap for tracheostomy. The outcomes and analyses of 168 patients who underwent tracheostomy (from December 2006 to June 2021) were recorded. Results: The incidence of post-tracheostomy tracheal stenosis was 2.38%, which is much lower than that of conventional surgery. Stoma size was not affected by body mass index, smoking, alcohol consumption, diabetes, and number of resected tracheal cartilage rings (p > 0.05). Patients who underwent this surgery had reduced psychological problems and increased physical appearance satisfaction. Conclusion: This technique is easily reproducible and suitable for patients with lower incidence of tracheal stenosis and higher satisfaction. </p>
Abstract from DOAJ. Public domain (CC0 1.0).
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