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Starplasty: A new design for pediatric tracheostomy


We are describing a new design of pediatric tracheostomy planned for long periods of time. The procedure entails creating a mature tracheo-cutaneous track through three dimensions Z-plasty design. This technique showed superiority to other currently available techniques in reducing the incidence of teacheostomy complications, specially serious hypoxemia after accidental deacannulation. However, this is on the expense of persistence of tracheo-cutaneous fistula after decanuulation.


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Correspondence to Mostafa I. Ammar MSc.

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Ammar, M.I., Elkawa, A.I., Elhamshary, A.S. et al. Starplasty: A new design for pediatric tracheostomy. Egypt J Otolaryngol 30, 183–187 (2014).

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  • starplasty; pediatric tracheostomy
  • complications