Results of the azizkhan procedure for long-term suprastomal tracheomalacia

One of the reasons of failure to decannulate patients after airway surgery or long-term tracheostomy is suprastomal tracheomalacia. We present 7 cases with long-term tracheostomies treated by an anterior cricoid suspension de scribed by Azizkhan in 1993. Prior to surgery, other causes of airway obstr uction, as well as the presence of gastroesophageal reflux disease should b e ruled out. All of them are decannulated. This procedure is a safe surgica l technique, easily reproducible and with low costs.