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June 1991

Tracheostomal Stenosis After Immediate Tracheoesophageal Puncture

Author Affiliations

From the Department of Surgery, University of Hong Kong, Queen Mary Hospital, Hong Kong.

Arch Otolaryngol Head Neck Surg. 1991;117(6):662-665. doi:10.1001/archotol.1991.01870180098019

• The incidence of tracheostomal stenosis in a group of patients after total laryngectomy with or without pharyngectomy plus immediate tracheoesophageal or tracheogastric puncture was compared with that of a control group without puncture. The stenosis rate of the puncture group was significantly higher than that of the control group (19% vs 6%). The other probable etiologic factors for stomal stricture were similar in both groups. Analysis of the risk factors in the puncture group suggested a higher tendency of stenosis in females (43% vs 16%) and in patients receiving postoperative radiotherapy (29% vs 14%), although the difference failed to reach statistical significance.

(Arch Otolaryngol Head Neck Surg. 1991;117:662-665)

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