Assisted ventilation at home for breathing insufficiencies requires long-term tracheotomy. Standard tracheotomy is frequently complicated by granuloma and tracheostomy stenosis. We have designed a permanent opening technique that we report on 9 patients. The technique prevents, as far as possible, granuloma and stenosis formation and provides a sufficiently large opening to reduce irritation during tracheotomy tube change. Surgery must be done under general anesthesia. High-dose long-term corticosteroid treatment can induce skin breakdown.
Remacle, M., Mustin, V., Delaunois, L., & Van den Eeckhaut, J. (1991). Trachéotomie permanente chez les insuffisants respiratoires. Acta Oto-Rhino-Laryngologica Belgica, 45(4), 421-424. https://hdl.handle.net/2078.5/72998 (Original work published 1991)