The immediate and late complications of prolonged nasotracheal intubation in eightythree children are reviewed. Twenty-six of the thirty survivors were examined by laryngoscopy to determine the incidence of permanent laryngeal lesions. Seventeen had no lesion. Of the remaining nine, two had severe subglottic stenosis, four slight subglottic stenosis, and three minor degrees of scarring without ...

Mild-to-moderate subglottic and tracheal stenosis can be effectively treated endoscopically, but safe airway management is a key concern. Options have included tracheotomy, jet ventilation, and intermittent apnea technique, each of which has limitations. This article presents the authors’ endoscopic surgical technique using laryngeal mask anesthesia during CO2 laser treatment of subglottic and ...

UNLABELLED We report a case of a 59-year-old male who experienced tracheoesophageal fistula and grade IV subglottic stenosis after percutaneous dilation tracheotomy. Although percutaneous tracheotomy is considered a safe procedure that is often performed in the intensive care unit setting, it is not without complications. While subglottic stenosis and tracheoesophageal fistula are known complic...

Granulomatosis with Polyangitis (GPA), previously known as Wegener’s Granulomatosis, is a form of anti-neutrophil cytoplasmic antibodies (ANCA)-associated vascuilitis predominantly involving the upper and lower respiratory tract and kidneys. Tracheobronchial involvement in GPA can have varied manifestations which include airway inflammation, mucosal granulomas, tracheobronchial stenosis, trache...

Subglottic stenosis is considered one of the most complex and challenging aspects of pediatric otolaryngology, with the most common etiology being prolonged endotracheal intubation. The surgical treatment of SGS can be either endoscopic or open, but recent advances have pushed the limits of the endoscopic approach so that in practice an open laryngotracheal surgical approach is considered only ...

A 22-year-old woman presented with effort dyspnea unresponsive to bronchodilators. Harsh respiratory sounds were audible at the neck. Thoracic and cardiac evaluation was normal. Spirometry revealed an obstructive ventilatory defect, and the flow-volume loop indicated upper airway obstruction. Bronchoscopy and tracheal computed tomography revealed a stenosis of the subglottic larynx. A biopsy sp...

The airway management of patients with subglottic stenosis poses many challenges for the anesthesiologists. Many anesthesiologists use a narrow endotracheal tube for airway control. This, however, can lead to complications such as tracheal mucosal trauma, tracheal perforation or bleeding. The ASA difficult airway algorithm recommends the use of supraglottic airway devices in a failed intubation...

We reviewed 143 patients with laryngeal cancer, who had undergone primary treatment in our hospital between 1983 to 1993. These patients consisted of 45 cases of supraglottic carcinoma, 94 cases of glottic carcinoma and 4 subglottic carcinoma. The respective five-year survival rates were 55.4%, 80.1%, 100% and 72.9% for supraglottic carcinoma, glottic carcinoma, subglottic carcinoma and that ov...

"This material was prepared by resident physicians in partial fulfillment of educational requirements established for the Postgraduate Training Program of the UTMB Department of Otolaryngology/Head and Neck Surgery and was not intended for clinical use in its present form. It was prepared for the purpose of stimulating group discussion in a conference setting. No warranties, either express or i...