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Tracheotomy and Airway pp 81–98Cite as

Closing a Tracheostomy: Step-by-Step Dissection, Pearls and Pitfalls and Complications

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Abstract

Decannulation and tracheostoma closure depend on the primary disease and its further development. With the tracheostoma closure, special medical and management requirements must be met, and contraindications need to be observed. Possibilities for predicting successful tracheostoma closure are described in the chapter in detail and pearls and pitfalls are given. Rare complications and how-to-avoid them are discussed. Non-epithelialized tracheostomies after PDT show tendencies towards spontaneous closure. If this is not the case or if the stoma is epithelialized, a surgical closure has to be performed. In this chapter, numerous surgical techniques how to close a persistent tracheostomy are presented, including adults and children and the oversized stoma, with a detailed step-by-step description and figures.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna, Vienna, Austria

    Matthaeus Ch. Grasl

  2. Institute of Head and Neck Diseases, Evangelical Hospital, Vienna, Austria

    Boban M. Erovic

Authors
  1. Matthaeus Ch. Grasl
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  2. Boban M. Erovic
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Correspondence to Matthaeus Ch. Grasl .

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Editors and Affiliations

  1. Teaching Hospital of the University Dresden, Dresden, Sachsen, Germany

    Eckart Klemm

  2. Teaching Hospital of the University Dresden, Dresden, Sachsen, Germany

    Andreas Nowak

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Grasl, M.C., Erovic, B.M. (2020). Closing a Tracheostomy: Step-by-Step Dissection, Pearls and Pitfalls and Complications. In: Klemm, E., Nowak, A. (eds) Tracheotomy and Airway. Springer, Cham. https://doi.org/10.1007/978-3-030-44314-6_9

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  • DOI: https://doi.org/10.1007/978-3-030-44314-6_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-44313-9

  • Online ISBN: 978-3-030-44314-6

  • eBook Packages: MedicineMedicine (R0)

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