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Decannulation protocol AND dysphagia

Alejandro Castro, Isabel Sanchez-Cuadrado, Ricardo Bernaldez, Antonio Del Palacio, Javier Gavilan
BACKGROUND: Supracricoid partial laryngectomy is a surgical technique that preserves laryngeal function. METHODS: A retrospective review of clinical records identified 41 patients that underwent supracricoid partial laryngectomy at our institution since 1998. In all, 26 patients with a minimum follow-up of 3 months were alive with a functioning larynx. All of them accepted participation in a functional evaluation. RESULTS: Ninety-seven percent of the patients were decannulated, and every patient achieved oral intake...
February 2012: Head & Neck
Naika Scalabrino, Laura Crespi, Monica Bosco, Emanuele Troisi, Gaia Vezzaro, Massimo Baravelli, Anna Picozzi, Andrea Rossi, Paolo Cattaneo, Cristina Rossi, Claudio AnzĂ 
SCOPE: Patients with tracheostomy tube after major cardiac surgery undergoing Cardiac Rehabilitation Program often present swallowing disorders that need a specific evaluation. This study aimed at validating the usefulness of a swallowing screen protocol in order to obtain an early assessment of dysphagia and to prevent aspiration, malnutrition and dehydration risks. MATERIALS AND METHODS: The protocol has been applied to 38 consecutive patients with tracheostomy tube after cardiac surgery between September 2007 and December 2009...
June 2010: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
Lee P Smith, Staci E Otto, Kathrine A Wagner, Linda Chewaproug, Ian N Jacobs, Karen B Zur
OBJECTIVES: To systematically evaluate perioperative management of oral feeding in children undergoing airway reconstruction. STUDY DESIGN: A retrospective chart review of all patients who underwent open airway reconstruction from February 1, 2006 through July 31, 2008 at a tertiary care children's hospital. METHODS: During the study period, a multidisciplinary protocol for perioperative management of alimentation was instituted. Swallowing function was evaluated pre- and postoperatively as part of a clinical management protocol...
May 2009: Laryngoscope
David S Verschueren, R Bryan Bell, Shahrokh C Bagheri, Eric J Dierks, Bryce E Potter
PURPOSE: Laryngeal fractures can occur in association with maxillofacial injuries and may lead to life-threatening airway obstruction. Because of a low incidence and a paucity of peer-reviewed information, there is no universally accepted treatment protocol and few clinicians have extensive experience with complex laryngo-tracheal trauma. The purpose of this retrospective analysis is to validate a treatment protocol for the management of laryngo-tracheal injuries occurring in severely injured patients by assessing the outcome of a consecutive series of patients who were treated by the same surgeons over a 12-year period...
February 2006: Journal of Oral and Maxillofacial Surgery
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