We present a case of a female infant that was diagnosed on prenatal ultrasound with an oral mass, and subsequently underwent a planned EXIT procedure to secure the airway. Ultimately the epignathus teratoma was excised at 3 days of age. The number of cases in which neonates have survived epignathus teratomas has increased in the past decade due to improved prenatal imaging and the development o...

Chronic Lymphocytic Leukemia (CLL) is the most prevalent form of non-Hodgkin's lymphoma (NHL) in Western countries predominantly affecting adults over the age of 65. CLL is commonly indolent in nature but can present locally and aggressively at extranodal sites. Although CLL may commonly present with cervical lymphadenopathy, manifestation in nonlymphoid regions of the head and neck is not well...

All severely injured patients have hypoxaemia in varying degrees. As soon as medical help arrives the first priority must be to ensure that the patient's airway is free and ventilation is unimpaired. Immediate administration of Indications for securing an airway supplementary oxygen to the unobstructed airway is of paramount with an endotracheal tube importance. Remember that in the first vital...

Inferior thyroid artery (ITA) rupture is rare and may progress to life-threatening conditions. We present a patient who visited the emergency department after an episode of syncope and dizziness in which he had a mechanical fall that resulted in abrasions and a hematoma to his left forehead. The patient presented with dysphagia and anterior neck swelling that progressed rapidly into airway comp...

OBJECTIVES/HYPOTHESIS Determine the incidence and characterize perioperative airway complications in patients who have undergone medialization thyroplasty (MT) and subsequently undergo procedures requiring anesthesia. STUDY DESIGN Retrospective review of post-MT anesthesia encounters in a large academic hospital. METHODS A series of post-MT patients was reviewed, identifying anesthesia enco...

Abstract Obstructive sleep apnea (OSA) and Insomnia are prevalent disorders which highly comorbid. This frequent co-occurrence suggests a shared etiology may exist. OSA is caused by the interaction of four pathophysiological traits: collapsible upper airway, elevated loop gain, low arousal threshold, poor muscle compensation. No study has ascertained whether these traits influenced insomnia. We...

Ankylosing spondylitis poses several anesthetic challenges ranging from difficult airway to neuraxial blockade. Limited cervical spine mobility, restricted opening of the temporomandibular joint, and cardiorespiratory compromise makes anesthesia preferred technique in these patients. However due ossification interspinous ligament ligamentum flavum, also syndesmophytes between adjacent vertebrae...

BACKGROUND Obtaining a patent airway can be difficult in patients with traumatic airway injuries (TAI). There is a paucity of data available about the incidence of airway compromise and techniques used in these patients. METHODS Charts review of all patients with TAI treated in a Regional Trauma Center from July 1989 to June 2005. RESULTS One hundred and four patients were identified as TAI...

To determine the combined effect of increased subatmospheric upper airway pressure and withdrawal of phasic volume feedback from the lung on genioglossus muscle activity, the response of this muscle to intermittent nasal airway occlusion was studied in 12 normal adult males during sleep. Nasal occlusion at end expiration was achieved by inflating balloon-tipped catheters located within the port...

Burns are among the most common injuries presenting to the emergency department. While burns, especially large ones, may be associated with significant morbidity and mortality, most are minor and can be managed by emergency practitioners and discharged home with close follow-up. In contrast, patients with large burns require aggressive management of their airway, breathing and circulation in or...