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July 1956

Laryngeal Stenosis

Author Affiliations

Fresno, Calif.

AMA Arch Otolaryngol. 1956;64(1):53-57. doi:10.1001/archotol.1956.03830130055008

Laryngeal stenosis is a narrowing of the airway through the larynx. This term includes a myriad of diseases. When acute, the stenosis, if severe, is relieved by short-circuiting of the airway with a tracheotomy. A problem arises when the attending surgeon discovers the patient is unable to tolerate the withdrawal of the tracheal cannula. A chronic stenosis has resulted which may be within the larynx or the upper part of the trachea.

As attested in the literature and laryngological textbooks, the solution has many times severely taxed the ingenuity of laryngeal surgeons. Treatment is prolonged and often unsatisfactory. In order to circumvent the problem, Negus 1 once stated that wearing a permanent tracheotomy tube was no worse than wearing a denture. Agreeing, Sir St. Clair Thomson added that it was much less trouble, because a denture must be cleaned after each meal, whereas a tracheotomy tube need be cleaned but

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