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Cricotracheal resection

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https://www.readbyqxmd.com/read/27882558/effects-of-voice-sparing-cricotracheal-resection-on-phonation-in-women
#1
Kristine Tanner, Christopher Dromey, Mark L Berardi, Lisa M Mattei, Jenny L Pierce, Jonathan J Wisco, Eric J Hunter, Marshall E Smith
INTRODUCTION: Individuals with idiopathic subglottic stenosis (SGS) are at risk for voice disorders prior to and following surgical management. This study examined the nature and severity of voice disorders in patients with SGS before and after a revised cricotracheal resection (CTR) procedure designed to minimize adverse effects on voice function. METHOD: Eleven women with idiopathic SGS provided presurgical and postsurgical audio recordings. Voice Handicap Index (VHI) scores were also collected...
November 24, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27833870/use-of-conchal-cartilages-for-laryngotracheal-stenosis-experiences-at-a-tertiary-care-hospital-of-eastern-india
#2
Santosh Kumar Swain, Neha Singh, Rankanidhi Samal, Santosh Kumar Pani, Mahesh Chandra Sahu
To describe the experience of anterior cricotracheal split with insertion of conchal cartilage graft in the treatment of subglottic and tracheal stenosis at a tertiary care hospital of eastern India. Six patients were included in the study, in the age group of 20-48 years. Out of which five patients were successfully decannulated after 3 months of laryngotracheal reconstruction with help of conchal cartilage. One case was undergone resection anastomosis after failure of the above technique. Successful restoration of the airway with decannulation in five cases and failure in one case...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27607884/-idiopathic-progressive-subglottic-stenosis-surgical-techniques
#3
K Hoetzenecker, T Schweiger, W Klepetko
Idiopathic subglottic stenosis is a disease characterized by slow, progressive scarring and constriction of the subglottic airway. It almost always occurs in females between the 3rd and 5th decade of life. Symptoms are frequently misinterpreted as asthma and patients are referred for endoscopic evaluation only when asthma medications fail to alleviate their symptoms. Treatment options can be divided into endoscopic and open surgical techniques. Microlaryngoscopic scar reduction by laser followed by balloon dilation usually delivers good short-term results...
September 2016: Zentralblatt Für Chirurgie
https://www.readbyqxmd.com/read/27497417/extended-cricotracheal-resection-with-posterior-costochondral-grafting-for-complex-pediatric-subglottic-stenosis
#4
Jaime Penchyna Grub, Enrique Ortíz Hernández, Gustavo Teyssier Morales, Ivan Rivas Rivera, Diego Preciado, Hiram Álvarez-Neri
BACKGROUND AND OBJECTIVE: Severe laryngotracheal stenosis in childhood poses a complex surgical challenge for specialists in airway surgery. Patients with severe subglottic stenosis with vocal cord involvement are particularly difficult to manage successfully. The goal of this work was to review our experience with extended CTR in a cohort of young children with severe SGS and determine which clinical parameters would be associated with surgical success. METHODS: Retrospective analysis of the outcome of consecutive patients with severe glottic-subglottic stenosis submitted to an extended double-stage CTR between 2004 and 2014 at a large tertiary referral center...
September 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27260586/management-of-severe-congenital-laryngeal-webs-a-12-year-review
#5
L A de Trey, K Lambercy, P Monnier, K Sandu
OBJECTIVE: The aim of this study was to investigate respiratory and voice outcomes after open surgery for severe congenital laryngeal web. METHODS: Included were all patients treated for severe congenital glottic web (Cohen type 3 and 4) between 2002 and 2014. Demographic data, symptoms, endoscopic findings, type of operation, outcome and complications were analyzed. Open surgery was performed with division of the web and enlargement of the subglottis by a laryngotracheal reconstruction or an extended partial cricotracheal resection...
July 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26561927/dysphagia-following-airway-reconstruction-in-adults
#6
Christen J Lennon, Alexander Gelbard, Carmin Bartow, C Gaelyn Garrett, James L Netterville, Christopher T Wootten
IMPORTANCE: Patients who undergo open airway reconstruction procedures are likely to experience some degree of postoperative dysphagia symptoms and delayed return to oral intake. OBJECTIVE: To review the duration of postoperative dysphagia symptoms and outcomes in a group of adult patients. DESIGN, SETTING, AND PARTICIPANTS: Retrospective review of the medical records of adult patients undergoing laryngotracheoplasty, posterior cricoid split laryngoplasty, tracheal resection, and cricotracheal resection in a tertiary hospital between July 2009 and September 2014...
January 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/26254466/summarized-institutional-experience-of-paediatric-airway-surgery%C3%A2
#7
Konrad Hoetzenecker, Thomas Schweiger, Stefan Schwarz, Imme Roesner, Matthias Leonhard, Doris-Maria Denk-Linnert, Berit Schneider-Stickler, Wolfgang Bigenzahn, Walter Klepetko
OBJECTIVES: The management of paediatric airway stenosis is complex, and requires a dedicated team, consisting of thoracic surgeons, phoniatricians, logopaedics, paediatricians and anaesthetists. The majority of paediatric laryngotracheal stenosis is a sequela of prematurity and prolonged post-partal intubation/tracheostomy. Surgical correction is often difficult due to a frequent combination of glottic and subglottic defects. METHODS: In 2012, the Laryngotracheal Program Vienna was launched...
April 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/26053977/cricotracheal-resection
#8
Amanda Hu, James McCaffrey, Al Hillel
No abstract text is available yet for this article.
June 2015: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/25878915/laryngeal-preservation-in-managing-advanced-tracheal-adenoid-cystic-carcinoma
#9
Thavakumar Subramaniam, Paul Lennon, John Kinsella, James Paul O'Neill
A 37-year-old male athlete was diagnosed with primary tracheal adenoid cystic carcinoma following investigation for dyspnea, wheeze, and eventual stridor. Preoperative bronchoscopy revealed a highly vascular tumor 4 cm distal to the cricoid with no gross disease extending to the carina. Imaging revealed circumferential tracheal irregularity immediately inferior to the cricoid, with no definite cricoid invasion. Locoregional extension of disease was noted invading the thyroid and abutment of the carotid approximately 180°...
2015: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/25786744/surgical-management-of-cricotracheal-invasion-by-papillary-thyroid-carcinoma
#10
Sueyoshi Moritani
BACKGROUND: In general, patients with papillary thyroid carcinoma (PTC) have an excellent postoperative prognosis. Those with cricoid and/or tracheal PTC invasion, however, are at a higher risk of postoperative morbidity and airway insufficiency. METHODS: We investigated postoperative airway outcomes, locoregional recurrence, and survival rates in patients with PTC who underwent cricotracheal resection. The records of PTC patients who underwent surgery at our institution between 1981 and 2009 were reviewed retrospectively, and 110 patients with cricotracheal invasion were enrolled...
November 2015: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/25711739/predicting-outcome-in-tracheal-and-cricotracheal-segmental-resection
#11
Gabriel Nakache, A Primov-Fever, E E Alon, M Wolf
The aim of this study was to analyze prognostic factors of successful tracheal and cricotracheal segmental resection (TR/CTR), the type of revisions performed in cases of failure, and the outcome of revisions. The study is designed as case series with chart review. Between 1995 and 2011, 122 adult patients underwent TR/CTR. Forty-six patients (38 %) had concomitant airway pathologies and 59 patients (48 %) failed previous interventions. Forty-six patients (38 %) were aphonic with a complete obstruction. Cricotracheal, tracheotracheal, and thyrotracheal anastomosis was performed in 78 (64 %), 24 (20 %) and 20 (16 %) patients, respectively...
June 2015: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/25346319/laryngotracheal-resection-and-reconstruction-for-subglottic-tracheal-stenosis-our-experience-of-32-cases
#12
LETTER
L Liu, W Wu, Y Ma, Y Liu, Y Wang, E K Oghagbon, M Xiang, D Huang
No abstract text is available yet for this article.
April 2015: Clinical Otolaryngology
https://www.readbyqxmd.com/read/25315922/a-comparative-study-of-cricotracheal-resection-and-staged-laryngotracheoplasty-for-adult-subglottic-stenosis
#13
COMPARATIVE STUDY
Harry H Ching, Abie H Mendelsohn, Isabelle Y Liu, Jennifer Long, Dinesh K Chhetri, Gerald S Berke
OBJECTIVE: Cricotracheal resection (CTR) and laryngotracheoplasty (LTP) are open surgical treatments for severe subglottic stenosis. This study aims to compare the applications and outcomes of these techniques. METHOD: Patients with subglottic stenosis at a tertiary academic institution from 2000 to 2012 were identified by diagnosis codes. Patients who underwent LTP or CTR were included. Records were reviewed for treatment data and outcomes. Patients with a history of head and neck malignancy or stenosis without cricoid involvement were excluded...
April 2015: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/25042669/complicated-pediatric-subglottic-granular-cell-tumor-with-extensive-intraluminal-and-extraluminal-invasion
#14
Nathan J Gonik, David Zeltsman, Lee P Smith
Subglottic granular cell tumors (GCT) are rare, potentially life threatening benign tumors. Complete resection is necessary, yet care must be taken to preserve laryngeal function. We present the first description of a pediatric subglottic GCT with extensive invasion beyond the confines of the subglottis to include the vocal folds and central neck. Urgent endoscopic debulking avoided tracheotomy and facilitated extubation. Later, complete resection required hemithyroidectomy, laryngofissure and partial cricotracheal resection...
September 2014: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/25022423/laryngotracheal-reconstruction-for-pediatric-glotto-subglottic-stenosis
#15
Kazumichi Yamamoto, Philippe Monnier, Florence Holtz, Yves Jaquet
BACKGROUND: The management of pediatric laryngotracheal stenosis (LTS) can be challenging, and laryngotracheal reconstruction (LTR) with cartilage interposition grafting remains the mainstay of surgical treatment for pediatric LTS in most experienced centers. The purpose of this study was to report the results of this procedure in a center where primary cricotracheal resection is frequently performed. METHODS: A retrospective chart review was performed on 45 patients who underwent LTR in our hospital between October 1997 and July 2012...
September 2014: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/25009211/partial-cricotracheal-resection-for-paediatric-subglottic-stenosis-update-of-the-lausanne-experience-with-129-cases
#16
MULTICENTER STUDY
Kazumichi Yamamoto, Yves Jaquet, Christos Ikonomidis, Philippe Monnier
OBJECTIVES: Partial cricotracheal resection (PCTR) is widely accepted for treating severe paediatric laryngotracheal stenosis (LTS). However, it remains limited to a few experienced centres. Here we report an update of the Lausanne experience in paediatric PCTR performed or supervised by a senior surgeon (Philippe Monnier). METHODS: An ongoing database of 129 paediatric patients who underwent PCTR for benign LTS between March 1978 and July 2012 at our hospital was retrospectively reviewed...
May 2015: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/24997689/characteristics-and-surgical-outcome-of-98-infants-and-children-surgically-treated-for-a-laryngotracheal-stenosis-after-endotracheal-intubation-excellent-outcome-for-higher-grades-of-stenosis-after-ss-ltr
#17
B Pullens, L J Hoeve, M K Timmerman, M P van der Schroeff, K F M Joosten
INTRODUCTION: To describe the characteristics and surgical outcome of 98 infants and children treated for an acquired laryngeal stenosis after intubation for respiratory support. MATERIAL AND METHODS: We retrospectively reviewed our data from the last 18 years (1994-2013) concerning infants and children with an acquired laryngotracheal stenosis who were treated in our hospital with a laryngotracheal reconstruction or a cricotracheal resection. Outcome was defined by decannulation ratio...
September 2014: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/24944273/complications-after-tracheal-and-cricotracheal-resection-and-anastomosis-for-inflammatory-and-neoplastic-stenoses
#18
MULTICENTER STUDY
Cesare Piazza, Francesca Del Bon, Alberto Paderno, Paola Grazioli, Stefano Mangili, Davide Lombardi, Piero Nicolai, Giorgio Peretti
OBJECTIVE: This study aimed to evaluate complications and success rates of tracheal resection and anastomosis (TRA) and cricotracheal resection and anastomosis (CTRA) in patients treated in 2 academic institutions. METHODS: Retrospective charts review of 137 patients submitted to TRA/CTRA. Fifty (36.5%) had neoplastic (group A) and 87 (63.5%) benign (group B) stenoses. Using univariate analysis, age, medical comorbidities, previous radiotherapy, type of TRA/CTRA, association with neck dissection and thyroidectomy, length of resected airway, and preoperative tracheotomy were evaluated to identify factors predictive of complications and outcomes...
November 2014: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/24933615/acquired-subglottic-stenosis-aetiological-profile-and-treatment-results
#19
S Pookamala, A Thakar, K Puri, P Singh, R Kumar, S C Sharma
OBJECTIVES: To analyse the aetiological profile and surgical results of patients with acquired chronic subglottic stenosis, and formulate a surgical scheme based on an audit of various surgical procedures. METHODS: Thirty patients were treated by 65 procedures (31 endoscopic and 34 external) between 2004 and 2009. RESULTS: Isolated subglottic stenosis was noted as unusual in the majority (27 cases), demonstrating contiguous tracheal or glottic involvement...
July 2014: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/24814622/partial-cricotracheal-resection-pctr-a-rewarding-outcome-for-paediatric-subglottic-stenosis-an-early-experience
#20
B S Goh, S Roopesh, M B Marina, S M Abdullah
This is a retrospective study examining the outcome of paediatric patients with subglottic stenosis who underwent partial cricotracheal resection (PCTR) as a primary open procedure from 2004 to 2012. There were 5 patients identified aged from 3 to 18 years old. All the subglottic stenosis were acquired type. All of them were secondary to prolonged intubation. Three patients were classified as Myer-Cotton grade III and the other two were Myer-Cotton grade IV. Two of the patients had concomitant bilateral vocal cord immobility...
February 2014: Medical Journal of Malaysia
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