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Proper care of a stoma is important to help prevent potential complications, which can include: bleeding stomal stenosis peristomal skin irritation stomal crusting airway obstruction voice prosthesis dislodgement Pharyngocutaneous fistula and voice prosthesis dislodgement complications do not occur with tracheostomy and are specific for laryngectomy

Bell explains

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I saw him a few years ago, and he looked so frail that I as a doctor thought the end was near for him