Commonly encountered difficulties during decannulation are tube dependency, bleeding, and mechanical problems with cuff, aspiration, pulmonary complications, tracheomalacia, scarring of the tracheostomy wound, inversion of wound margin in skin, tracheal stenosis and also migration of granulation tissue inside the trachea through the tracheostomy wound. Patients with traumatic quadriplegia follo...

OBJECTIVE To compare postoperative respiratory and swallowing functions between patients who underwent classic supracricoid laryngectomy (SCL) and those who underwent SCL with laryngeal reconstruction using the sternohyoid muscle. STUDY DESIGN Prospective study. SETTING National cancer center. SUBJECTS AND METHODS Forty-four patients who consecutively underwent SCL for laryngeal squamous ...

With intensive care patients, decannulation and deglutition disorders are frequent reasons for otorhinolaryngological assessment. The objective of a tracheostomy is to maintain a patent airway. It does not necessarily prevent episodes of aspiration and may even favour them. When the cause that led to the tracheostomy resolves, a decannulation may be proposed. Deglutition is a complex act involv...

The aim of the present retrospective controlled study was to analyse and compare risk factors for tracheocutaneous fistula in patients who received tracheostomy after supracricoid partial laryngectomy with those who received tracheostomy for other causes. We enrolled 39 patients with tracheocutaneous fistulas who were divided into two groups. The first received temporary tracheostomy for suprac...

Abstract Up to half of all children with a tracheostomy develop persistent trachea-cutaneous fistula (TCF) after decannulation. Surgical closure it is technically easy but post-operative complications can be immediate and life-threatening. We reviewed our experience in TCF closures identify potential risk factors for complications. Methods Retrospective case records review (0-16 years) who unde...

OBJECTIVE To examine the indications, risks, and surgical outcomes after tracheal reconstruction using cadaveric homograft in children. DESIGN Retrospective medical record review. SETTING Tertiary referral center. PATIENTS Ten children (4 boys and 6 girls). INTERVENTION Tracheal reconstruction using cadaveric homograft. MAIN OUTCOME MEASURES Cause of stenosis, number and type of proce...

INTRODUCTION AND OBJECTIVES Subglottic stenosis is one of the most common causes of upper airway obstruction. Almost 90% of them result from endotracheal intubation. Therapy depends on the degree of stenosis, among other factors. Therapeutic approaches range from watchful waiting, in mild stenosis, to complex surgery for severe cases. We report our experience on the surgical management of post-...

In order to investigate the functional effects of mitral valve surgery, echocardiograms showing left ventricular dimension were recorded and digitised in 14 normal subjects and 129 patients after mitral valve surgery. Measurements were made of peak rate of increase of dimension (dD/dt) and duration of rapid filling, studies on left ventriculograms in 36 patients having shown close correlation b...

The duration of postictal language dysfunction following a temporal lobe complex partial seizure (TLCPS) is longer when the seizure originates in the dominant hemisphere. However, the effects of older age and the presence of a structural lesion ipsilateral to the area of origin of the seizure remain unknown. Postictal language delay (PILD) was analyzed in relation to age and presence of a struc...

This study aims to analyze and prove empirically (1) the effect of executive character on Tax Avoidance, (2) thin capitalization Avoidance (3) book tax gap Avoidance. research method is carried out by taking secondary data, namely manufacturing companies listed Indonesia Stock Exchange for period 2018 2020. The data collection technique uses purposive sampling used in analyzing multiple regress...