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  • Title: [Permanent tracheotomy in respiratory insufficiency].
    Author: Remacle M, Mustin V, Delaunois L, Van den Eeckhaut J.
    Journal: Acta Otorhinolaryngol Belg; 1991; 45(4):421-4. PubMed ID: 1767674.
    Abstract:
    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.
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