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Richard Nicollas, Eric Moreddu, Claire Le Treut-Gay, Stéphane Roman, Julien Mancini, Jean-Michel Triglia
INTRODUCTION: The goal of this retrospective study is to compare the management and outcome of surgical treatment of laryngotracheal stenosis in children and infants with and without an associated neurological disorder. PATIENTS AND METHOD: In a series of children operated on for subglottic stenosis (SGS), patients with an associated neurological disorder were identified. The following criteria were compared in children with and without neurological disease: grade of stenosis, age, technique (Crico-Tracheal Resection (CTR), Laryngo-Tracheo-Plasty (LTP) in single and 2 stage, laser), analyzing duration, preoperative tracheostomy, decannulation rate, preoperative gastrostomy, and number of days in intensive care unit and in hospital...
September 29, 2016: Annals of Otology, Rhinology, and Laryngology
Priscila Giraldo, Luke Sato, Jose M Martínez-Sánchez, Mercè Comas, Kathy Dwyer, Maria Sala, Xavier Castells
OBJECTIVES: To evaluate and compare the characteristics of court verdicts on medical errors allegedly harming patients in Spain and Massachusetts from 2002 to 2012. DESIGN, SETTING AND PARTICIPANTS: We reviewed 1041 closed court verdicts obtained from data on litigation in the Thomson Reuters Aranzadi Westlaw databases in Spain (Europe), and 370 closed court verdicts obtained from the Controlled Risk and Risk Management Foundation of Harvard Medical Institutions (CRICO/RMF) in Massachusetts (USA)...
2016: BMJ Open
Umit Aydogmus, Adem Topkara, Metin Akbulut, Adem Ozkan, Figen Turk, Barbaros Sahin, Gokhan Yuncu
Objectives: Mucosal free grafts may be successfully applied in many surgical interventions. This study aims at investigating the feasibility of palatal mucosa graft in sub-glottic field in an animal model. Methods: This randomized prospective controlled study was conducted with an animal model. Sub-glottic inflammation was created in 15 adult rabbits in each group and sub-glottic stenosis surgery was applied thereafter. The rabbits in group 1 (control group) underwent segmental resection, partial cricoidectomy, and trachea-thyroid cartilage anastomosis; the rabbits in group 2 underwent segmental resection, cricoplasty, and crico-tracheal anastomosis using free buccal mucosa graft; and the rabbits in group 3 underwent segmental resection, cricoplasty, and crico-tracheal anastomosis using free palatal mucosa graft...
July 2, 2016: Clinical and Experimental Otorhinolaryngology
Ahmed Abdel Khalek Abdel Razek
We review the imaging appearance of connective tissue diseases of the head and neck. Bilateral sialadenitis and dacryoadenitis are seen in Sjögren's syndrome; ankylosis of the temporo-mandibular joint with sclerosis of the crico-arytenoid joint are reported in rheumatoid arthritis and lupus panniculitis with atypical infection are reported in patients with systemic lupus erythematosus. Relapsing polychondritis shows subglottic stenosis, prominent ear and saddle nose; progressive systemic sclerosis shows osteolysis of the mandible, fibrosis of the masseter muscle with calcinosis of the subcutaneous tissue and dermatomyositis/polymyositis shows condylar erosions and autoimmune thyroiditis...
June 2016: Neuroradiology Journal
Mark L Graber, Dana Siegal, Heather Riah, Doug Johnston, Kathy Kenyon
BACKGROUND: There is widespread agreement that the full potential of health information technology (health IT) has not yet been realized and of particular concern are the examples of unintended consequences of health IT that detract from the safety of health care or from the use of health IT itself. The goal of this project was to obtain additional information on these health IT-related problems, using a mixed methods (qualitative and quantitative) analysis of electronic health record-related harm in cases submitted to a large database of malpractice suits and claims...
November 6, 2015: Journal of Patient Safety
U Schroeder, B Wollenberg, K L Bruchhage
BACKGROUND: Transoral laser microsurgery (TLM) is the method of choice for partial laryngectomy in Germany. In advanced stages, chemoradiotherapy is increasingly indicated for organ preservation. OBJECTIVE: This report considers the indications for and outcomes of supracricoid partial laryngectomy (SPL), also known as crico-hyoido-(epiglotto)-pexy, as an option for surgical organ preservation in moderately advanced laryngeal cancer (T3-T4a), in the well-defined gap between TLM and chemoradiotherapy protocols in Germany...
November 2015: HNO
Cesare Piazza, Francesca Del Bon, Diego Barbieri, Paola Grazioli, Alberto Paderno, Pietro Perotti, Davide Lombardi, Giorgio Peretti, Piero Nicolai
OBJECTIVES: To evaluate outcomes in different malignancies involving the thyroid and infiltrating the airway submitted to tracheal (TRA) or crico-tracheal resection and anastomosis (CTRA). METHODS: Retrospective charts review of 27 patients affected by thyroid malignancies involving the airway treated by TRA/CTRA in a single academic institution. Kaplan-Meier curves were used to evaluate the overall (OS) and disease-specific (DSS) survivals and local (LC) and loco-regional control (LRC)...
February 2016: Annals of Otology, Rhinology, and Laryngology
Sarina Tschan, Flurin Honegger, Claudio Storck
OBJECTIVES/HYPOTHESIS: Cricoid-thyroid approximation (CTA) performed to elevate the vocal pitch in transwomen fails in about one-third of the patients. The purpose of this study was to test the feasibility of predicting the likelihood of success of CTA by preoperative determination of the crico-thyroid joint (CTJ) type using three-dimensional (3-D) images derived from high-resolution computer tomography (HRCT). STUDY DESIGN: Prospective cohort study of 18 transwomen who underwent CTA at our institution...
June 2016: Laryngoscope
Clark A Rosen, Ted Mau, Marc Remacle, Markus Hess, Hans E Eckel, VyVy N Young, Anastasios Hantzakos, Katherine C Yung, Frederik G Dikkers
The terms used to describe vocal fold motion impairment are confusing and not standardized. This results in a failure to communicate accurately and to major limitations of interpreting research studies involving vocal fold impairment. We propose standard nomenclature for reporting vocal fold impairment. Overarching terms of vocal fold immobility and hypomobility are rigorously defined. This includes assessment techniques and inclusion and exclusion criteria for determining vocal fold immobility and hypomobility...
August 2016: European Archives of Oto-rhino-laryngology
C A Leone, P Capasso, G Russo, P D'Errico, P Cutillo, P Orabona
The purpose of this study was to evaluate the oncological and functional outcomes in patients who underwent supracricoid laryngectomies with a crico-hyoidopexy (SCL-CHP) or a crico-hyoido-epiglottopexy (SCL-CHEP) for the treatment of primary and reccurent laryngeal cancer. A retrospective study was conducted on 152 consecutive patients seen from January 1996 to December 2006. Overall survival (OS) and disease-free survival (DFS) were analysed using the Kaplan-Meier method, and were compared according to the type of surgery and clinical stage of the tumour...
October 2014: Acta Otorhinolaryngologica Italica
Dana Siegal, Gretchen Ruoff
The landmark 1999 Institute of Medicine report, "To Err Is Human," challenged us all to reduce the number of preventable medical errors. While vulnerabilities and patient harm continue at unacceptable rates, there are also many success stories. This article presents a series of case studies that illustrate how healthcare organizations have used data-quantitative, qualitative, and comparative-to address vulnerabilities and guide meaningful change to improve patient safety. These examples are drawn from the data-sharing community of CRICO Strategies, a division of the Risk Management Foundation of the Harvard Medical Institutions, Inc...
2015: Journal of Healthcare Risk Management: the Journal of the American Society for Healthcare Risk Management
Cynthia Clabunde Dos Santos, Felipe Omura, Hélio Penna Guimarães, Luiz Fernando Dos Reis Falcão, Renato Delascio Lopes, Letícia Sandre Vendrame Saes
BACKGROUND AND OBJECTIVES: This study is a case report of a patient that was submitted to implant of enteric tube (ET) in the ICU, being evidenced false passage in proximal esophagus during endoscopic procedure, demonstrating tunnel for the submucosa. CASE REPORT: A 77 years old woman, transferred to ICU, where ET was installed (due to difficulty of being carried through both nostrils) being confirmed its position through thoraco-abdominal x-ray. The patient remained around 10 days with the ET, receiving diet, without any alteration...
March 2006: Revista Brasileira de Terapia Intensiva
Małgorzata Wierzbicka, Małgorzata Leszczyńska, Witold Szyfter
AIM: of study was to present material of open partial horizontal laryngectomies (OPHL) in T1b, T2 and T3 larynx cancer treatment in single tertiary referral institution. MATERIAL AND METHODS: Retrospective analysis of operating protocols in patients treated in Poznań ENT University Department between 2000-2012 with glottis (T1b - 185, T2 - 185, T3 - 231) and supraglottis tumors (T1 - 80, T2 - 104, T3 - 206), potentially available for organ preservation treatment...
November 2014: Otolaryngologia Polska. the Polish Otolaryngology
Günter Hafız, Bora Başaran, Murat Ulusan, Senol Comoğlu
In the conventional supracricoid laryngectomy technique, tumors extending beyond the lingual surface of the epiglottis with tongue base invasion are contraindicated due to the requirement of the hyoid bone resection. The loss of the hyoid bone causes intractable aspiration and renders the cricoidal pexy process impossible. Therefore, surgeons tend to treat such tumors with total or subtotal laryngectomies or organ preservation protocols. In this article, a new supracricoid partial laryngectomy technique for tumors requiring resection of the hyoid bone and the base of the tongue was described...
May 2014: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
S A Reza Nouraei, Guri S Sandhu
We present a system for classification of bilateral vocal fold mobility impairment. Type 1 obstructions are caused by bilateral laryngeal denervation, most commonly due to bilateral recurrent laryngeal nerve palsy. Type 2 obstructions are caused by crico-arytenoid joint ankylosis. Type 3 obstructions are due to inter-arytenoid granulation tissue. Type 4 lesions are caused by mature inter-arytenoid scar tissue and type 5 lesions are complex or total laryngeal stenoses.
July 2015: Logopedics, Phoniatrics, Vocology
D Marcotullio, M de Vincentiis, G Iannella, C Bigelli, G Magliulo
BACKGROUND: The TNM classification of glottic tumors defined T1b as a tumor involving both vocal cords with normal mobility of such. In the last fifteen years, in the medical literature, the role of open surgery for management of laringeal cancer has decreased considerably owing to the development of transoral laser microsurgery which is an oncologically and functionally reliable treatment particularly for early glottic cancers. AIM: Report the efficacy of different surgical techniques (laser CO2 cordectomy or supracricoid partial laryngectomy) in T1b glottic cancers treatment with a 10-years follow-up...
2014: European Review for Medical and Pharmacological Sciences
G Succo, G Peretti, C Piazza, M Remacle, H E Eckel, D Chevalier, R Simo, A G Hantzakos, G Rizzotto, M Lucioni, E Crosetti, A R Antonelli
We present herein the proposal of the European Laryngological Society working committee on nomenclature for a systematic classification of open partial horizontal laryngectomies (OPHL). This is based on the cranio-caudal extent of laryngeal structures resected, instead of a number of different and heterogeneous variables present in existing nomenclatures, usually referring to eponyms, types of pexy, or inferior limit of resection. According to the proposed classification system, we have defined three types of OPHLs: Type I (formerly defined horizontal supraglottic laryngectomy), Type II (previously called supracricoid laryngectomy), and Type III (also named supratracheal laryngectomy)...
September 2014: European Archives of Oto-rhino-laryngology
Emily Iacovou, Petros V Vlastarakos, Thomas P Nikolopoulos
Connective tissue disorders (CTDs) involve multiple organ systems and may have a significant impact on the overall health and quality of life of the affected individuals. The present paper aims to review the current knowledge on the laryngeal manifestations of CDTs, and describe the available diagnostic and treatment options. Systematic literature review in Medline and other database sources. Information from related books was also included. Prospective controlled, double-blind prospective, prospective, and transversal cohort studies, case series, case reports, systematic reviews, and consensus papers...
January 2014: Indian Journal of Otolaryngology and Head and Neck Surgery
Marcello Migliore
A dissection of a manometric trace of the upper esophageal sphincter and the crico-esophageal coordination Although manometry is the most accurate method for diagnosing esophageal motility disorders, several patient suffering of high dysphagia remain undiagnosed. Most Authors concentrate their efforts in studying the coordination between the pharynx and the upper esophageal sphincter (UES), while the co-ordination of the UES with the upper esophageal contraction is less studied. A new method for reading a manometric trace of the UES has been developed, and the crico-esophageal coordination herein is described...
March 2013: Annali Italiani di Chirurgia
H F Mahieu
Many dysphonias caused by incomplete glottis closure or inadequate vocal fold tension are eligible for phonosurgical correction. Most phonosurgeons presently advocate laryngeal framework surgery as the first treatment of choice.For correction of incomplete glottis closure usually thyroplasty type 1 and arytenoid adduction techniques are used. For correction of vocal fold tension crico-thyroid approximatidn and thyroplasty type 3 can be used. Often combinations of different techniques are required to achieve the best result...
July 1997: Indian Journal of Otolaryngology and Head and Neck Surgery
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