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Myocutaneous fenestration in sleep apnea patients
Author(s) -
O'Leary Michael J.,
Farrell George
Publication year - 1986
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198604000-00003
Subject(s) - fenestration , sleep apnea , medicine , sleep (system call) , apnea , anesthesia , cardiology , surgery , computer science , operating system
We present a patient with severe obstructive sleep apnea syndrome (OSAS), including O2 desaturations to 11%, who was successfully managed with myocutancous fenestration tracheostomy. The myocutaneous fenestration technique employs bilateral horizontal skin‐platysma advancement flaps sutured directly to a trachecal fenestra created between rings two to four. It conforms ideally to the unique physical and psychological demands of the sleep apnea patient. Rapid healing time and minimal granulation tissue, combined with a permanently functional, yet reversible and minimally disfigurative stoma, highlight the advantages of the technique over standard tracheostomy. The myocutaneous fenestration tracheostomy is uniquely applicable to the surgical treatment of patients with moderate to severe obstructive sleep apnea.