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Article
May 1934

PLASTIC CLOSURE OF LARYNGOSTOMIC FISTULASAND ENLARGEMENT OF THE LUMEN OF THE TRACHEA OR LARYNX BY IMPLANTATION OF A CHONDROCUTANEOUS FLAP

Arch Otolaryngol. 1934;19(5):585-589. doi:10.1001/archotol.1934.03790050050006
Abstract

The closure of tracheostomic and laryngostomic openings frequently requires several years of painstaking treatment followed by one or more operations which may or may not be successful. Spontaneous closure after a low tracheostomy or closure after a simple operation is usual, but after the conventional high tracheostomy the fistula tends to persist and is often associated with stricture of the trachea or larynx and impairment of the voice. For years Chevalier Jackson has preached against tracheotomy in the subglottic area, but surgical textbooks and practitioners continue to spread the fallacy that a high tracheotomy or cricotomy is the safe and desirable operation to select in an emergency. As a result, in bronchoscopic clinics many voiceless children with openings in the neck are under constant and prolonged treatment. After many months a depth of tracheal gutter sufficient to justify an attempt at closure by operation is developed in these patients in

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