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

  • Matthaeus Ch. GraslEmail author
  • Boban M. Erovic
Chapter
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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.

Keywords

Tracheostomal closure Techniques in adults and children Performing Complications Skin flaps Oversized tracheostoma 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, Head and Neck SurgeryMedical University of ViennaViennaAustria
  2. 2.Institute of Head and Neck Diseases, Evangelical HospitalViennaAustria

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