Double reversing Z-plasty with inferiorly widening stomaplasty for the management of tracheostomal stenosis

This technique, “double reversing Z-plasty with inferiorly widening stomaplasty”, provides a safe procedure for enlarging the tracheostomal size and easing the excessive tension without disturbing the posterosuperior stomal profile and the tracheoesophageal puncture for phonatory prosthesis.