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A novel approach to excision of distal tracheal granulation tissue in tracheostomy patients with difficult anatomy

October 25, 2016  |  Allison Rasband-Lindquist, MD; Keith Sale, MD

Abstract

Tracheostomy predisposes patients to various complications. The most common late complication is granuloma formation; others include tracheal stenosis, bleeding, infection, and fistula development. Small granulomas may not require treatment, but large ones necessitate removal...

Repair of a posterior perforation of the trachea following thyroidectomy with a muscle transposition flap

February 24, 2016  |  Alistair B. Escott, MBChB; Rosalynd S. Pochin, MBBS, BSc (Hons), FRACS

Abstract

Tracheal perforation is a rare postoperative complication of total thyroidectomy. While previously documented cases have been reported in the anterior aspect of the trachea after a total thyroidectomy, we report what we believe is the first documented case of a perforation in...

Laryngotracheal mucormycosis: Report of a case

January 22, 2016  |  Jillian Mattioni, DO; Joel E. Portnoy, MD; Jaime Eaglin Moore, MD; David Carlson, DO; Robert T. Sataloff, MD, DMA, FACS

Abstract

Airway mucormycosis is a deadly opportunistic infection that affects immunocompromised persons, particularly diabetics and those undergoing chemotherapy. Although it is typically a pulmonary or sinonasal infection, mucormycosis can affect the larynx and trachea, with...

Analysis of predisposing factors for complications of percutaneous tracheostomy

August 27, 2015  |  Ivan Domènech, MD, PhD; Paula Cruz Toro, MD; Jordi Tornero, MD; Ana Giordano, MD; Àngela Callejo, MD

Abstract

Since the turn of the century, percutaneous tracheostomy (PT) has become an alternative to the classic open technique and is an elective procedure in intensive care units at most centers. We conducted a prospective study to identify and quantify the complication rate with PT...

Cervical lipoblastoma: An uncommon presentation

July 21, 2015  |  Rohaizam Jaafar, MD; Tang Ing Ping, MS(ORL-HNS); Doris Evelyn Jong Yah Hui, MS(ORL-HNS); Mohammad Zulkarnaen Ahmad Narihan, MPath

Abstract

Lipoblastoma is extremely rare and mainly occurs in children younger than 3 years old. It is predominantly found in the extremities and trunk. Head and neck region occurrences are rare; only 4 such cases involving patients who presented with stridor have been previously...

Cricotracheal resection

June 5, 2015  |  Amanda Hu, MD, FRCSC; James McCaffrey, MD; Al Hillel, MD

As much as half of the trachea can be resected with a low incidence of anastomotic complications.

Advanced airway management teaching in otolaryngology residency programs in Canada: A survey of residents

April 28, 2015  |  Valérie Côté, MD; Lukas H. Kus, MD, MSc; Xun Zhang, PhD; Keith Richardson, MD; Lily H.P. Nguyen, MD, MSc, FRCS(C)

Abstract

We conducted a study to assess residents' levels of comfort with advanced airway management in Canadian otolaryngology residency programs. In October 2008, an electronic questionnaire was sent to all otolaryngology residents in Canada. Responses were voluntary and anonymous....

Adult presentation of laryngeal cleft: Utility of the modified barium swallow study in diagnosis and management

December 19, 2014  |  Genevieve Houdet-Cote, MHSc; Simon R. McVaugh-Smock, MHSc

We present a case of laryngeal cleft in a 41-year-old man to illustrate the co-occurrence of laryngeal cleft and tracheoesophageal fistula. We advocate the use of the modified barium swallow study in the diagnosis of laryngeal cleft. We also review the advantages and limitations of the various...

An unusual presentation of anterior subglottic stenosis

June 9, 2014  |  Harry V. Wright, MD; Kenneth C. Fletcher, MD

Acquired subglottic stenosis should be suspected in any patient with unexplained dyspnea weeks to months following decannulation.

Transnasal esophagoscopy and the diagnosis of a mediastinal foregut duplication cyst

August 22, 2013  |  Amarbir S. Gill, BS and Jennifer L. Long, MD, PhD

Foregut duplication cysts are true mucus-filled cysts lined with a thin epithelial layer, arising from either bronchogenic, esophageal, or neuroenteric precursor tissue.

Traumatic tracheostomy and spent bullet aspiration after a gunshot injury: A case report

August 22, 2013  |  Jack Barasa, MD; Peter M. Nthumba, MD; and Peter Bird, FRACS

Abstract

Penetrating tracheal injuries are rare. Even rarer is the finding of intrabronchial foreign bodies caused by penetrating objects. We report a patient who experienced a gunshot injury to the trachea and mandible. The tracheal wound was debrided and used as a tracheostomy; a...

Unusual pseudomyiasis with Musca domestica (housefly) larvae in a tracheostomy wound: A case report and literature review

July 22, 2013  |  Mohammad Shakeel, MS; Iram Khan, MD; Imteyaz Ahmad, MD; Zafar Iqbal, MS; Syed Abrar Hasan, MS

Abstract

We report a case of pseudomyiasis (accidental myiasis) in a 52-year-old man who had previously undergone surgery and placement of a tracheostomy tube for laryngeal cancer. The patient presented to our outpatient department with a foul-smelling, blood-stained discharge and...

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