Stomal Stenosis Post Laryngectomy | Dr Rathan Shetty | COMPLICON 2024 скачать в хорошем качестве

Stomal Stenosis Post Laryngectomy | Dr Rathan Shetty | COMPLICON 2024

Sri Shankara Cancer Hospital & Research Centre, Bengaluru hosted The International Head & Neck Oncology Conference (COMPLICON) in August 2024. Various guests from all over India and the world were invited to share their expertise and experience on different head and neck cancers. Speaker: Dr. Rathan Shetty Topic: Stomal Stenosis post total laryngectomy In this video, Dr. Rathan talks about: a. Understanding Stomal Stenosis: Definition and Impact: Stomal stenosis, a narrowing of the tracheostoma, impairs breathing, secretion clearance, and voice prosthesis use, potentially requiring long-term stenting or tracheostomy tubes, leading to discomfort, social stigma, and increased maintenance needs for laryngectomized patients. b. Etiological Factors Contributing to Stomal Stenosis: Radiation therapy, excessive scar tissue formation, wound dehiscence with secondary healing, infection at the stoma site, hypertrophic scarring (especially in certain populations), inadequate initial stoma construction, and tumor recurrence can all contribute to stomal narrowing. c. Surgical Techniques for Primary Stoma Construction: Various techniques aim to create a durable, D-shaped stoma with adequate size, including separate skin incisions, skin flaps, and avoiding cutting through the tracheal cartilage to minimize circumferential scar contraction. d. Management of Postoperative Stomal Stenosis: Treatment ranges from conservative measures like serial dilation with tracheostomy tubes or stoma buttons to surgical revision using advancement flaps or skin paddles to excise scar tissue and enlarge the stoma opening. e. Timing of Stomal Revision and Surgical Approaches: While the ideal timing for surgical revision is debated, the primary goal is to excise scar tissue and reconstruct the stoma with techniques that minimize tension and promote epithelialization, often utilizing local skin flaps. f. Prevention Strategies and Postoperative Care: Meticulous surgical technique during primary stoma creation, including oblique tracheal stump section, adequate skin excision, complete mucosal coverage, and early removal of stoma sutures, along with diligent postoperative care and patient education, are crucial for preventing stomal stenosis. About the Event: This talk was part of the International Head & Neck Oncology Conference held on 23–24 August 2024 at Sri Shankara Cancer Hospital & Research Centre, a leading institute for cancer care and research in India. To stay updated on the latest cancer surgery techniques, expert lectures, and case discussions, please watch the full sessions in the playlist: Head & Neck COMPLICON 2 – Day 1    • Head & Neck COMPLICON 2024: Part 1 - DAY 1   About Sri Shankara Cancer Hospital: Located in the heart of Bengaluru, our hospital is recognized for its patient-first approach, top-quality medical infrastructure, and a team of dedicated oncologists working to provide the best possible cancer care for all. Like, share, and subscribe for more updates from our hospital—expert talks, inspiring patient stories, surgical advancements, and healthcare events. #MedicalOncologyConference #HeadAndNeckCancer #StomalStenosis #Laryngectomy #Tracheostoma #COMPLICON #SriShankaraCancerHospital #AirwayManagement #SurgicalReconstruction #PostoperativeComplications #DrRathanShetty