OBJECTIVE To compare outcomes with the use of thyroid ala cartilage (TAC) and costal cartilage (CC) grafts in pediatric primary anterior laryngotracheoplasty (LTP). DESIGN Retrospective comparison study. SETTING Tertiary, academic children's hospital. PATIENTS Of 45 laryngotracheal operations performed between June 2001 and October 2008 for laryngotracheal stenosis, 29 were primary anteri...

INTRODUCTION Appropriate care for patients with tracheostomies in hospital settings is an important issue. Each year more than 7000 patients receive tracheostomies in Australia and New Zealand alone. Many of these tracheostomy patients commence their care in the intensive care unit (ICU) and once stabilised are then transferred to a general ward. Insufficient skills and experience of staff cari...

Percutaneous dilatational tracheostomy is a common procedure in intensive care. This guideline from the Danish Society of Intensive Care Medicine (DSIT) and the Danish Society of Anesthesiology and Intensive Care Medicine (DASAIM) describes indications and contraindications, timing, complications compared to surgical tracheostomy, anaesthesia and technique, decannulation strategy, as well as tr...

Introduction: Bilateral vocal cords paralysis in adduction when it is irreversible requires treatment due to the inspiratory dyspnea that produces. Different surgical techniques can be used increase glottic space. Posterior cordotomy with partial arytenoidectomy improves and one of most surgeries. Objectives: To determine resolution rate or decannulation, patients bilateral cord treated posteri...

Abstract Funding Acknowledgements Type of funding sources: None. INTRODUCTION Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is an essential tool for the management refractory cardiogenic shock. Little known about incidence thromboembolic events after V-A ECMO decannulation, although some studies report a high cannula-related venous thrombosis venovenous (VV-ECMO). Due to this fact,...

The purpose of this report is to review the results of mitral valve replacement since a first report in the Annals of Surgery in 1961, in order to determine the relative importance of new valve designs versus other surgical variables. The continued use of the silastic ball valve in its 1966 configuration (Model 6120), by providing a comparative data base for other new prosthetic valves, allows ...

INTRODUCTION The management of laryngotracheal stenosis is complex and is influenced by multiple factors that can affect the ultimate outcome. Advanced lesions represent a special challenge to the treating surgeon to find the best remedying technique. OBJECTIVE To review the efficacy of our surgical reconstructive approach in managing advanced-stage laryngotracheal stenosis treated at a terti...

Introduction Tracheostomy (TCT) places an high social and economical burden not only for patients and their families, but also for institutions and the management of their beds. Longitudinal studies are contradictory, due to different non-standard practices, different circuits of these patients in the hospitals and the differentiation of human resources. Therefore, the creation of decannulation...

Percutaneous dilatational tracheostomy is a common procedure in intensive care. This updated Danish national guideline describes indications, contraindications and complications, and gives recommendations for timing, anaesthesia, and technique, use of fibre bronchoscopy and ultrasound guidance, as well as decannulation strategy, training, and education.