Modified tracheotomy technique after Tapia Acuna

Abstract

Decanulation problems have been handled with modified Tapia-Acuna tracheal fenestration. Two cases of them were reported.Two months male having dispnea since birth was found to have hypopharyngeal edema and tracheotomy was performed. U-shaped flap of trachea at the level of 2nd and 3nd tracheal ring was sutured and attached to the skin flap and after 40 days tracheostoma was closed without any troubles.Twelve months male. Tracheotomy in U-shape Tapia method was performed because of severe dyspnea after removal of foreign body of left main bronchus. Tracheal flap was sutural to skin and tracheostoma was created and remained untill 5 days later when stoma was closed.The authors prefer the tracheal flap formation to the midline incision and round shaped tracheotomies for rather long lasting tracheostoma.