Right upper lobectomy in a patient with an iatrogenic tracheo-oesophageal fistula after laryngectomy.
نویسندگان
چکیده
A patient with a tracheostomy and an iatrogenic tracheo-oesophageal fistula presented for diagnostic bronchoscopy and right upper lobectomy. The anaesthetic management is discussed with reference to the options available and, in particular, the use of a Brompton Pallister single lumen endobronchial tube.
منابع مشابه
Closure of tracheo-oesophageal fistula following removal of voice prosthesis; a new surgical technique.
The voice prosthesis is today the most widely used and accepted method of voice restoration following total laryngectomy. Fortunately, the cases in which it is necessary to temporarily or definitively close the fistula are rare (request of the patient, leakage from the fistula, aspiration pneumonia). Herein, an analysis is made of these cases and the surgical technique personally developed for ...
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In most patients with advanced or recurrent laryngeal or hypopharyngeal cancer, total laryngectomy is indicated. This means the loss of three main functions: phonation; respiration; and the prevention of aspiration during deglutition. Laryngectomy patients have various options to restore phonation: an oesophageal voice; an electrolaryngeal voice; or a tracheo-oesophageal voice. In the last case...
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عنوان ژورنال:
- British journal of anaesthesia
دوره 74 4 شماره
صفحات -
تاریخ انتشار 1995