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Chiu M. Ho, FRCSE; William I. Wei, FRSCE, DLO; Wai F. Lau, FRCSE; Kam H. Lam, MS, FRCSE, FRACS

Arch Otolaryngol Head Neck Surg. 1991;117(6):662-665.

Abstract
• 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)

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

Footnotes
Accepted for publication November 26, 1990.

Reprint requests to the Department of Surgery, University of Hong Kong, Queen Mary Hospital, Hong Kong (Dr Ho).

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