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[Jatho stoma reconstruction--cannula-free, self-anchored tracheostomy in laryngectomy patients].

Since 1987 we are using a tracheostoma construction technique proposed by Jatho in 1976. A vertical incision is made in the anterior wall of the trachea. A triangular skin flap is interdigitated into the slit. The slit is additionally held open by a thread on each side of the trachea which leads through the periods of the subclavial bone and from there through the skin. 34 patients, who were operated on according to this technique were followed up during a period between 3 and 43 months. None of them needed a cannula to keep the stoma open. Four of these patients underwent a revision procedure analogue to that one described above. These results are compared to the results from conventional stomal construction and various stoma plasty techniques found in literature.