Correspondence  |   January 2020
Postlaryngectomy Stoma versus Tracheostomy: Reply
Author Notes
  • University of Texas M.D. Anderson Cancer Center, Houston, Texas. atruong@mdanderson.org (A.T.T.)
  • (Accepted for publication October 3, 2019.)
    (Accepted for publication October 3, 2019.)×
Article Information
Correspondence
Correspondence   |   January 2020
Postlaryngectomy Stoma versus Tracheostomy: Reply
Anesthesiology 1 2020, Vol.132, 211-212. doi:https://doi.org/10.1097/ALN.0000000000003032
Anesthesiology 1 2020, Vol.132, 211-212. doi:https://doi.org/10.1097/ALN.0000000000003032
We read with interest the Letter to the Editor by Dr. Gupta concerning our article Postlaryngectomy Stoma versus Tracheostomy: Implications for Perioperative Airway Management.1  First, it is important to emphasize that the focus of our image and its teaching points centers on patients with a total laryngectomy stoma without additional pathologies causing a communication between airway and digestive tract. After total laryngectomy, the trachea is brought to the skin as a stoma, which no longer has any anatomical connection with the oropharyngeal cavity and digestive tract. Our discussion does not apply to patients with a partial laryngectomy nor to patients with a tracheoesophageal fistula.