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Laryngotracheoplasty

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https://www.readbyqxmd.com/read/29712504/preliminary-assessment-of-dynamic-voice-ct-in-post-airway-reconstruction-patients
#1
Mathieu Bergeron, Robert J Fleck, Caleb Middlebrook, Stephanie Zacharias, Shea Tolson, Liran Oren, David Smith, Alessandro de Alarcon
Objectives To compare the ability of the dynamic voice computed tomography (CT) scan to characterize laryngeal function in airway reconstruction patients vs bedside endoscopic nasopharyngolaryngoscopy and videolaryngostroboscopy. Study Design Case series with chart review. Settings Pediatric tertiary care center. Subjects and Methods Retrospective case series of children and young adults with a history of complex airway surgeries with subsequent dysphonia. We analyzed clinical data for all patients who underwent an airway reconstruction procedure between January 1, 2010, and April 30, 2016, and also had a dynamic voice CT and bedside endoscopic exam during the same period...
April 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29580586/paediatric-bilateral-vocal-cord-paralysis-our-experience
#2
María Laura Scatolini, Hugo A Rodriguez, Cinthia G Pérez, Alejandro Cocciaglia, Hugo A Botto, Mary Nieto, Lucas Bordino
Bilateral vocal cord paralysis (BVCP) is the second most common cause of neonatal stridor. The aim of this study was to describe the demographic features, aetiology, comorbidities, and management of our patients with BVCP. MATERIAL AND METHODS: We conducted a retrospective review of the clinical charts of all patients diagnosed with BVCP seen at the Department of Respiratory Endoscopy between 2011 and 2015. RESULTS: 47 patients were included. Mean age at diagnosis was 1 month and male sex predominated (63%)...
March 23, 2018: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/29491523/airway-challenges-in-laryngotracheoplasty-with-montgomery-t-tube-for-subglottic-stenosis
#3
Dhanveer J Shetty, M N Chidananda Swamy, Shantanu Tandon
No abstract text is available yet for this article.
February 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29405845/areas-for-quality-improvement-for-airway-dilation-in-children-nsqip-pediatric-30-day-outcomes
#4
Jeffrey Cheng, Beiyu Liu, Alfredo E Farjat
Objective To identify predictors of adverse events and highlight areas for quality improvement for children who underwent laryngeal or tracheal dilation, without prior tracheostomy placement. Study Design Cross-sectional analysis using a US national database. Setting American College of Surgeons (ACS) National Surgical Quality Improvement Program (ACS NSQIP-pediatric), years 2012 to 2015. Subjects and Methods Patients 18 years and younger were included. Patients without prior tracheostomy placement were identified using 2017 Current Procedural Terminology ( CPT) codes: 31528, 31529, and 31630...
January 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29224761/direct-tracheobronchopexy-via-left-lateral-thoracotomy-for-severe-tracheobronchomalacia
#5
Evan J Propst, Faisal Zawawi, Roxanne E Kirsch, Osami Honjo
An infant with pulmonary atresia/ventricular septal defect/major aortopulmonary collateral arteries underwent unifocalization, ventriculoseptal defect closure and placement of a right ventricle to pulmonary artery conduit via median sternotomy. Aortopexy and pulmonary arteriopexy via redo sternotomy were insufficient to allow weaning of continuous positive airway pressure and he required direct tracheobronchopexy via left lateral thoracotomy to alleviate posterior trachealis intrusion along the length of the trachea and left main bronchus...
December 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28195821/idiopathic-subglottic-stenosis-long-term-outcomes-of-open-surgical-techniques
#6
Deanna C Menapace, Mara C Modest, Dale C Ekbom, Eric J Moore, Eric S Edell, Jan L Kasperbauer
Objectives Idiopathic subglottic stenosis (iSGS) is rare, and its cause remains elusive. Treatment options include empiric medical therapy and endoscopic or open surgery. We present our results for open surgical technique. Study Design Case series with chart review (1978-2015). Setting Tertiary academic center. Subjects/Methods Thirty-three patients (32 female; median age, 51 years) met inclusion criteria and underwent cricotracheal resection with thyrotracheal anastomosis, tracheal resection with primary anastomosis, or laryngotracheoplasty with rib grafting...
May 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/26561927/dysphagia-following-airway-reconstruction-in-adults
#7
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/26195575/optimal-management-of-a-2-hour-old-newborn-with-severe-congenital-subglottic-stenosis-and-multiple-congenital-heart-diseases
#8
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
https://www.readbyqxmd.com/read/26145746/-the-experience-with-the-use-of-the-two-step-laryngotracheoplasty-for-the-management-of-subglottic-and-combined-subglottic-and-upper-tracheal-cicatrical-stenosis-in-the-adult-patients
#9
R K Yagudin, K F Yagudin
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
https://www.readbyqxmd.com/read/26139510/securing-stent-during-multi-stage-laryngotracheoplasty-an-evolved-technique
#10
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
https://www.readbyqxmd.com/read/26027725/open-airway-surgery-for-subglottic-hemangioma-in-the-era-of-propranolol-is-it-still-indicated
#11
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
https://www.readbyqxmd.com/read/25541839/staged-laryngotracheoplasty-in-adult-laryngotracheal-stenosis-predictors-of-long-term-decannulation
#12
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
https://www.readbyqxmd.com/read/25385840/otolaryngologic-surgeries-are-frequent-in-children-with-eosinophilic-esophagitis
#13
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
https://www.readbyqxmd.com/read/25315922/a-comparative-study-of-cricotracheal-resection-and-staged-laryngotracheoplasty-for-adult-subglottic-stenosis
#14
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/25170960/a-comparative-analysis-of-open-surgery-vs-endoscopic-balloon-dilation-for-pediatric-subglottic-stenosis
#15
COMPARATIVE STUDY
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
https://www.readbyqxmd.com/read/25092077/tracheotomy-after-laryngotracheoplasty-risk-factors-over-10-years-corrected
#16
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
https://www.readbyqxmd.com/read/25063682/surgical-management-of-posterior-glottic-diastasis-in-children
#17
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
https://www.readbyqxmd.com/read/24963870/simulation-of-swallowing-dysfunction-and-mechanical-ventilation-after-a-montgomery-t-tube-insertion
#18
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
https://www.readbyqxmd.com/read/24671463/pediatric-exercise-stress-laryngoscopy-following-laryngotracheoplasty-a-comparative-review
#19
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
https://www.readbyqxmd.com/read/24430975/angiogenesis-in-costal-cartilage-graft-laryngotracheoplasty-a-corrosion-casting-study-in-piglets
#20
COMPARATIVE STUDY
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
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