PMC6812138_01
Preoperative findings.
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fig1
Long-term pressure from the tracheal tube caused enlargement of the stoma and exposed the balloon (Fig. 1).
Surgical procedure.. a) Design of the skin flap (The design on the left was used.). b) Skin incision and raising the flap. c) Transposition of the flap. d) Closing the donor site. e) Creating support for the tube by using the flap. f) Wound closure.
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fig2
Under general anesthesia, the flap was raised and its tip was folded to make a base for supporting the tube (Fig. 2).
Postoperative findings.. One month after the operation. There is no recurrence.
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fig3
At 1 month after reconstruction of the tracheal stoma, the patient was discharged from hospital on ventilator support (Fig. 3).