BACKGROUND Respiratory complications are common after neonatal repair of oesophageal atresia and tracheo-oesophageal fistula. The prevalence of lung function abnormalities and the relation between gastrointestinal complications and lung function has not been studied in a large number of patients. METHODS Lung volumes and flow-volume loops were measured in 155 patients without spinal curvature...

Dear Sir, We present a 43-year-old man with ca larynx who underwent tracheostomy, secondary to subtotal laryngectomy operation. The patient’s respiratory problems were resolved and tracheostomy was removed. He presented to our clinic with a depressed scar and a tracheal tug (Fig 1). Tracheostomy is a life-saving maneuver used in respiratory emergencies, maxillofacial trauma, and oncologic surge...

This female infant was born at 34 weeks of gestation by spontaneous vaginal delivery following increasing polyhydramnios and premature rupture of membranes. At 22 weeks of gestation, a left-sided diaphragmatic hernia with minimal mediastinal shift and a favourable head-to-lung ratio had been diagnosed. After delivery, following a short period of bag-mask ventilation with apparently appropriate ...

We report a 37-year-old woman with Niemann-Pick disease type C (NPC) 1. At the age of 8 years, she presented slow running followed by both fingers dystonia at the age of 10 years. At the age of 16 years, she developed declined scholastic achievement. On her first visit at the age of 17 years, she showed dystonia, ataxic gait and vertical supranuclear gaze palsy. We suspected it was NPC. She pre...

background and objectives: there are different types of vascular access. we compared the patency rate for six months in ulnar-basilic fistula and radio-cephalic fistula for vascular access in hemodialysis patients.   methods: the study was performed on 60 patients of 50.6±13.5 years of age with end-stage renal failure undergoing hemodialysis from 2012-2014 in imam ali hospital in zahedan. patie...

We preliminarily evaluated the clinical feasibility and efficacy of intraoperative radiotherapy in patients with thyroid carcinoma. Nine thyroid cancer patients received intraoperative radiotherapy using an Intrabeam system. The dose was 3-4 Gy and the irradiation time ranged from 1 min 32 s to 7 min 33s. One case was a primary thyroid carcinoma, while the other cases were recurrent disease. Ad...

Tracheostomy is a common procedure for intensive care patients requiring prolonged mechanical ventilation. In this case report, we describe a 78-year-old female patient admitted for an aneurysm of the cerebral anterior communicating artery. Following immediate endovascular coiling, she remained ventilated and was transferred to the neurological intensive care unit. On postoperative day ten, a p...

We report the causes and characteristics of benign tracheoesophageal fistulas (TEF) in 14 cases and investigate the effects of different stenting methods in the treatment of TEF. Among the 14 cases, 2 cases resulted from inflammation, 8 cases from post-esophagectomy complications, 2 cases from complications of esophageal stenting for anastomotic strictures, and 2 cases from complications of che...

We present the treatment and management of a wide tracheocutaneous fistula after tracheotomy correlated with excessive cuff pressure in a 36-year-old woman with cerebral palsy since infancy in which persistent type II respiratory failure required continuous ventilatory support. We discuss the surgical treatment adopted for the management of this particularly wide lesion. At the end of surgery, ...

Small-bore flexible feeding tubes decrease the risk of ulceration of the nose, pharynx, and stomach compared with large-bore and more rigid tubes. However, small-bore feeding tubes have more respiratory system complications, such as pneumothorax, hydropneumothorax, bronchopleural fistula, and pneumonia, which are associated with significant morbidity and mortality. Thus, it is important to conf...