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UID:pretalx-ifos2026-BTFPR8@sciencenext.org
DTSTART;TZID=EET:20260910T114500
DTEND;TZID=EET:20260910T121500
DESCRIPTION:<p style="text-align: center\; margin-left: 0px!important\;"><s
 trong>Background:</strong> Tracheal or stomal stenosis is a dreaded compli
 cation after tracheotomy. The incidence of tracheal stenosis after tracheo
 tomy reaches up to 21% in certain series. The inferiorly based flap trache
 otomy\, known as Björk flap tracheotomy\, was first described by Björk i
 n 1952 following a patient mortality from a displaced cannula. It involves
  a flap of the anterior tracheal wall secured to the inferior edge of the 
 skin incision by a non-absorbable silk suture. The Björk flap tracheotomy
  aims to lower the shearing pressures created by movement of the tracheoto
 my tube during coughing and breathing. Also\, its resulting tract matures 
 quickly. Furthermore\, the trachea is pulled up to the skin and fastened e
 ven if the stoma has not been fully developed. This makes the tracheotomy 
 tube changes safer and simpler.</p><p style="margin-left: 0px!important\;"
 >Only 11% of Björk flap tracheotomy cases show narrowing of the tracheal 
 lumen. The narrowing never exceeds 50% of the lumen. Furthermore\, Björk 
 flap tracheotomy cases show a decreased rate of stomal stenosis than the c
 onventional tracheotomy ones. The chances of tracheal or stomal stenosis a
 re higher in conventional tracheotomy because of the higher risk of stomal
  injury. Furthermore\, the likelihood of peristomal granulation is lower i
 n the Björk flap tracheotomy. These granulations are less likely to block
  the flap-based mature stoma.</p><p style="margin-left: 0px!important\;"><
 strong>Methodology:</strong> We will review the pathogenesis of the post t
 racheotomy tracheal stenosis. Then we will describe the surgical technique
 \, tips and pearls of the Björk flap tracheotomy\, detailing the differen
 ces between it and the conventional tracheotomy. We will underline the adv
 antages of the Björk flap tracheotomy\, especially in the prevention of t
 racheal stenosis. &nbsp\;</p><p style="margin-left: 0px!important\;"><stro
 ng>Conclusion:</strong> Björk flap tracheotomy is much safer than the con
 ventional tracheotomy. It shows fast recovery and is associated with less 
 incidence of tracheal stenosis. The inverted U-shaped flap preserves the t
 racheal cartilage and maintains the lumen after tracheotomy. Björk flap t
 racheotomy is not far from becoming recommended as a best practice techniq
 ue to lower the incidence and severity of post tracheotomy tracheal stenos
 is.</p>
DTSTAMP:20260805T041600Z
LOCATION:Phoniatrics 2
SUMMARY:Ermergency & Elective Tracheotomy - Mehmet Hakan Korkmaz\, Hazem Sa
 leh\, Engin Dursun
URL:https://sciencenext.org/ifos2026/talk/BTFPR8/
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