OBJECTIVE To describe our technique and experience of treating adult subglottic stenosis using the Nd:YAG laser through a flexible bronchoscope via a fiberoptic delivery system. DESIGN Retrospective chart review. PATIENTS This study included 16 patients with subglottic stenosis who presented to the senior surgeon (M.R.R.) for laser bronchoscopy from January 2000 to December 2006. MAIN OUT...

BACKGROUND Adult laryngotracheal reconstruction for airway stenosis and after oncologic ablation can be extremely challenging. METHODS Patients with the above conditions not amenable to or refractory to conventional treatments were offered specialized reconstruction by wrapping a contoured costal cartilage graft with a vascularized microvascular carrier. All constructs were lined with buccal ...

Cricoid malformations vary according to their severity and anatomic features. Some of them get a delayed diagnosis in spite of the complex medical care. Objective: To present a case with a laryngeal malformation and our surgery technique. Material, method: A case presentation of a cannulated child, who previously had a heart surgery, with difficult decannulation. RESULTS The patient was consi...

Personal use only. For copyright permission information: Published online http://www.ajcconline.org © 2010 American Association of Critical-Care Nurses doi: 10.4037/ajcc2009575 2010;19:278-284 Am J Crit Care Linda Y. Y. Chan, Alice Y. M. Jones, Raymond C. K. Chung and K. N. Hung Decannulation of a Tracheotomy Tube in Neurosurgical Patients Peak Flow Rate During Induced Cough: A Predictor of Suc...

INTRODUCTION Without specific strategies to address tracheostomy care on the wards, patients discharged from the intensive care unit (ICU) with a tracheostomy may receive suboptimal care. We formed an intensivist-led multidisciplinary team to oversee ward management of such patients. To evaluate the service, we compared outcomes for the first 3 years of the service with those in the year preced...

The treatment of supraglottic carcinoma remains a controversial issue. Five accepted surgical and non-surgical oncological treatments have been currently established: standard horizontal supraglottic laryngectomy (HSL), supraglottic CO2 laser microsurgery (TLM), transoral robotic surgery, radiotherapy alone and radiotherapy in combination with chemotherapy. Some studies have shown that complica...