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October 1965

Tracheal Prosthesis for Stenosis

Arch Otolaryngol. 1965;82(4):433. doi:10.1001/archotol.1965.00760010435021

The evolution of a suitable tracheal stent to assist in the management of tracheal stenosis has led to the development of this simplified model. It is made of Teflon tubing in three sizes to accommodate teenagers, adult men, and adult women. A "collar button" stabilizes the stent in the neck thus preventing aspiration or coughing it up. The lumen of the stent rests over a fenestrated tracheostomy tube thus permitting the passage of air and sound during its use. The noncorrosive qualities keep it clean, and its semimalleability permits an adjustment of its length during the operation for insertion. It is well tolerated as an indwelling stent for an interval of 8 to 12 months. Removal is accomplished by releasing of the "collar button" from the tube and then extracting it by laryngeal exposure or removing it through an incision connecting the tracheostomy wound with the "collar button."

The stent

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