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- Title
Myocutaneous fenestration in sleep apnea patients.
- Authors
O'Leary, Michael J.; Farrell, George
- Abstract
We present a patient with severe obstructive sleep apnea syndrome (OSAS), including O2 desaturations to 11%, who was successfully managed with myocutancous fenestration tracheostomy. The myocutaneous fenestration technique employs bilateral horizontal skin-platysma advancement flaps sutured directly to a trachecal fenestra created between rings two to four. It conforms ideally to the unique physical and psychological demands of the sleep apnea patient. Rapid healing time and minimal granulation tissue, combined with a permanently functional, yet reversible and minimally disfigurative stoma, highlight the advantages of the technique over standard tracheostomy. The myocutaneous fenestration tracheostomy is uniquely applicable to the surgical treatment of patients with moderate to severe obstructive sleep apnea.
- Publication
Laryngoscope, 1986, Vol 96, Issue 4, p356
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1288/00005537-198604000-00003