 Creation of a long-term tracheostoma may be beneficial whereas the patient would not need such a long tracheostomy tube, and I informed the patient there are other options other than the tube he has at the present time. 
Creation of a long - term tracheostoma may be beneficial whereas the patient would not need such a long tracheostomy tube , and I informed the patient there are other options other than the tube he has at the present time .