FIELD: medicine.
SUBSTANCE: method involves exposing trachea by making X-shaped incision in skin forming four triangular flaps and layer-by-layer separating subjacent soft tissues. Longitudinal trachea incision is carried out along median line between upper and lower flap bases. The incision is twice as long as skin flaps height. Then, upper and lower flaps are turned by 180° and sutured with epidermal surface turned inside to trachea lumen. Lateral flaps edges are fixed with isolated interrupted sutures to trachea incision edges.
EFFECT: prolonged tracheostoma usage; reduced infection risk and contraction tendency; reliable wound surface protection.
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