Read by QxMD icon Read


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
Jaber Alshammari, Sultan Alanazy
INTRODUCTION: Congenital subglottic stenosis (C-SGS) is the third most common congenital anomaly of the larynx. It necessitates tracheotomy in newborns if it causes severe airway obstruction. When the negative impact of tracheostomy cannot be tolerated, as in presence of congenital heart disease requiring further surgical intervention, other alternative procedures are required. This case report is the first of its kind reporting airway expansion in a neonate in the first few hours after birth...
December 2015: Annals of Otology, Rhinology, and Laryngology
R K Iagudin, K F Iagudin
The objective of the present retrospective study was to evaluate the clinical experience with the use of the two-step laryngotracheoplasty for the treatment of subglottic and combined subglottic and upper tracheal cicatrical stenosis in the adult patients during the period between 2003 and 2012. A total of 13 patients were retrospectively reviewed following the surgical treatment for the management of subglottic and combined subglottic and upper tracheal cicatrical stenosis based at the Lugansk regional clinical hospital...
2015: Vestnik Otorinolaringologii
Bianca Siegel, John P Bent
BACKGROUND: Multi-stage laryngotracheoplasty (LTP) typically requires a stent be secured to the airway for 2-6 weeks. Our technique has evolved over time to securing the stent to the strap muscles and tying a series of knots long enough to leave the suture tail protruding through the skin incision, which simplifies stent removal. METHODS: Retrospective chart review. RESULTS: Twenty-four patients underwent multi-stage LTP at our institution from 2007 to 2013...
September 2015: International Journal of Pediatric Otorhinolaryngology
Bianca Siegel, Deepak Mehta
OBJECTIVES: With the emergence of propranolol as the primary treatment for hemangiomas the indications for surgical intervention have been greatly reduced. There remains a role for surgical management in those patients who fail medical therapy, particularly for hemangiomas involving the airway. Detailed is our experience with subglottic hemangiomas, including three patients who failed propranolol treatment and were successfully treated with surgical excision and single stage laryngotracheoplasty (LTP) with thyroid ala graft...
July 2015: International Journal of Pediatric Otorhinolaryngology
Isabelle Y Liu, Abie H Mendelsohn, Harry Ching, Jennifer Long, Dinesh K Chhetri, Gerald S Berke
IMPORTANCE: This study reviews a single center's experience of performing staged laryngotracheoplasty (LTP) for the treatment of laryngotracheal stenosis with the ultimate goal of attaining long-term airway patency without restenosis. OBJECTIVE: To identify staged LTP as an efficacious surgical treatment option for laryngotracheal stenosis. DESIGN, SETTING, AND PARTICIPANTS: From January 2000 to January 2012, patients at a tertiary care academic institution presenting with diagnoses of laryngeal or laryngotracheal stenosis were retrospectively identified...
March 2015: JAMA Otolaryngology—Head & Neck Surgery
Elizabeth A Kelly, David Linn, Kristina L Keppel, Richard J Noel, Robert H Chun
OBJECTIVE: The aim was to study the prevalence of otolaryngologic surgeries in pediatric patients with eosinophilic esophagitis (EoE). METHODS: Retrospective cohort study at a tertiary care center. The type of otolaryngologic surgeries performed in patients with diagnosis of EoE was recorded during a 5-year period. RESULTS: Seventy-five percent of patients were male, with average age of EoE diagnosis at 7.5 years with an 83% incidence of atopy...
May 2015: Annals of Otology, Rhinology, and Laryngology
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
Alison Maresh, Diego A Preciado, Ashley P O'Connell, George H Zalzal
IMPORTANCE: Minimally invasive endoscopic techniques are an appealing alternative to open surgical management of pediatric subglottic stenosis (SGS), but more information is needed to understand the comparative risks, benefits, and limitations of such interventions. OBJECTIVE: To compare the effectiveness of endoscopic balloon dilation (EBD) and laryngotracheoplasty (LTP) in pediatric patients with SGS and to identify patient and disease factors that are associated with successful EBD...
October 2014: JAMA Otolaryngology—Head & Neck Surgery
Tal Marom, Rachel A Joseph, Christopher R Grindle, Udayan K Shah
BACKGROUND: Subglottic stenosis (SGS) is the most common congenital and/or acquired laryngotracheal anomaly requiring tracheotomy in infants. We sought to determine factors associated with a greater likelihood of tracheotomy in symptomatic infants with SGS who underwent laryngotracheoplasty (LTP). METHODS: Retrospective case series with chart review of patients undergoing single-stage LTP for SGS over a 10-year period (2001-2010) in a tertiary-care pediatric hospital...
August 2014: Journal of Pediatric Surgery
Douglas R Sidell, Stephanie Zacharias, Karthik Balakrishnan, Michael J Rutter, Alessandro de Alarcón
INTRODUCTION: The purpose of this study was to report our clinical experience in the surgical management of patients with posterior glottic diastasis (PGD) secondary to prolonged intubation and/or laryngotracheoplasty (LTP) during childhood. METHODS: We reviewed the charts of patients with a history of prolonged intubation and/or LTP who had undergone surgical correction for PGD at our institution between 2010 and 2014. We documented demographic data and pertinent information regarding medical and surgical histories...
January 2015: Annals of Otology, Rhinology, and Laryngology
O Trabelsi, M Malvè, A Mena Tobar, M Doblaré
The Montgomery T-tube is used as a combined tracheal stent and airway after laryngotracheoplasty, to keep the lumen open and prevent mucosal laceration from scarring. It is valuable in the management of upper and mid-tracheal lesions, while invaluable in long and multisegmental stenting lesions. Numerical simulations based on real-patient-tracheal geometry, experimental tissue characterization, and previous numerical estimation of the physiological swallowing force are performed to estimate the consequences of Montgomery T-tube implantation on swallowing and assisted ventilation: structural analysis of swallowing is performed to evaluate patient swallowing capacity, and computational fluid dynamics simulation is carried out to analyze related mechanical ventilation...
2015: Computer Methods in Biomechanics and Biomedical Engineering
Douglas R Sidell, Karthik Balakrishnan, Catherine K Hart, J Paul Willging, Sandra K Knecht, Alessandro de Alarcon
OBJECTIVE: Exercise-induced airway obstruction in pediatric patients is a unique phenomenon with multiple potential etiologies. An accurate diagnosis can be challenging to establish in pediatric patients because they are frequently asymptomatic at rest. Exercise stress laryngoscopy (ESL) is a modality by which pediatric patients can be evaluated under physiologic conditions that produce their symptoms. The purpose of this study was to demonstrate (1) the diagnostic effectiveness of pediatric ESL and (2) the ability of ESL to guide treatment for "normal" and post-airway reconstruction patients with exercise intolerance...
June 2014: Otolaryngology—Head and Neck Surgery
Lukas H Kus, Jaina Negandhi, Michael C Sklar, Antoine Eskander, Marvin Estrada, Robert V Harrison, Paolo Campisi, Vito Forte, Evan J Propst
OBJECTIVES/HYPOTHESIS: To investigate the timing and degree of angiogenesis following anterior costal cartilage graft laryngotracheoplasty in an animal model. STUDY DESIGN: Randomized controlled animal model. METHODS: Twelve pigs were included in this study. Three control pigs were perfused with intravascular methyl methacrylate, and overlying tissue was corroded with potassium hydroxide and hydrochloric acid, leaving only a cast of vessels...
October 2014: Laryngoscope
Jennifer L Wentzel, Sidrah M Ahmad, Christopher M Discolo, M Boyd Gillespie, Allison M Dobbie, David R White
OBJECTIVES/HYPOTHESIS: The aim of this study was to systematically review available literature on the outcomes of children treated with balloon laryngoplasty (BLP) as a primary or adjuvant treatment for subglottic or laryngeal stenosis, as well as briefly report on a new series of 60 children treated at the Medical University of South Carolina from 2007 to 2013. STUDY DESIGN: Review of published case series and retrospective chart review. METHODS: A literature search was performed in PubMed and MEDLINE to identify trials that reported clinical outcomes of BLP in human patients under the age of 18 with subglottic or laryngeal stenosis...
July 2014: Laryngoscope
Elena B Willis, David Folk, John P Bent
OBJECTIVES: We report the frequency and success rates of adjunctive airway procedures after pediatric single-stage laryngotracheoplasty (LTP) and review different adjunctive techniques in a prospectively enrolled and retrospectively reviewed case series. METHODS: Of 31 LTP procedures performed from 2008 to 2011 at an academic tertiary care children's hospital, 10 were single-stage LTP procedures. These 10 cases were analyzed to determine the number and type, if any, of adjunctive procedures required after LTP, as well as the subglottic response and decannulation rates...
May 2013: Annals of Otology, Rhinology, and Laryngology
Diego Preciado
OBJECTIVES/HYPOTHESIS: Studies comparing the relative effectiveness of suprastomal stents in laryngotracheoplasty surgery are lacking in the literature. The goal of this study was to compare the performance of two widely used short-term suprastomal stents in open airway surgery. STUDY DESIGN: Prospective, randomized study of a single surgeon's outcomes for grade III subglottic stenosis (SGS) in children. METHODS: The open Aboulker Teflon stent versus the cut, closed, soft Silastic Montgomery T-tube stent for short-term stenting in double-stage laryngotracheoplasty (dsLTP) were compared...
January 2014: Laryngoscope
Erica Sanford, Payam Saadai, Hanmin Lee, Anne Slavotinek
Congenital high airway obstruction sequence (CHAOS) has traditionally been defined as airway obstruction with ultrasound evidence of distal airway dilatation, expanded lungs, ascites, and hydrops. It can result from aplasia or intrinsic obstruction to the formation of the upper airway (larynx and trachea) during development. CHAOS is commonly sporadic and there is no known causative gene. In this comprehensive review on CHAOS, we examined 117 reported cases of this sequence and describe a new case. Malformations in addition to high airway obstruction were present in 64/118 (54...
December 2012: American Journal of Medical Genetics. Part A
Pradipta Kumar Parida, Ashok Kumar Gupta
OBJECTIVE: To describe our experience in the management of laryngotracheal stenosis (LTS). STUDY DESIGN: Prospective study. MATERIALS AND METHODS: This study was carried out from 2001 to 2004 on 30 cases. All cases were investigated by spiral computerized tomography and endoscopic examination. RESULTS: There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively...
December 2009: Indian Journal of Otolaryngology and Head and Neck Surgery
Jeffrey Cheng, Ian Jacobs
We describe a novel technique for closure of a large, persistent, pediatric tracheocutaneous fistula using a thyroid ala cartilage graft. Case report and review of the literature. We report 2 cases of large (>4mm), pediatric tracheocutaneous fistulas, in which primary closure of the tracheal defect would have caused critical airway narrowing and were managed with an anterior laryngotracheal reconstruction with a thyroid ala cartilage graft and closure of the tracheocutaneous fistula. The patients were extubated immediately postoperatively and maintained successfully closed fistulas with no clinically significant airway compromise...
January 2013: International Journal of Pediatric Otorhinolaryngology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"