Introduction: The techniques of partial laryngectomy are based on the compartimentalization of the larynx and their aims are to provide the oncologically radical excision and to preserve the laryngeal function. Objective: To evaluate the oncological results and the complications in patients submitted to these techniques. Methods: A consecutive series of 120 patients underwent partial laryngecto...

INTRODUCTION Acute laryngeal lesions after intubation appear to be precursors of chronic lesions. OBJECTIVE To describe the incidence and type of acute laryngeal lesions after extubation in a pediatric intensive care unit (PICU). METHODS A cohort study involving children from birth to <5 years, submitted to intubation for more than 24h in the PICU of an university hospital. In the first eig...

Cricoid malformations vary according to their severity and anatomic features. Some of them get a delayed diagnosis in spite of the complex medical care. Objective: To present a case with a laryngeal malformation and our surgery technique. Material, method: A case presentation of a cannulated child, who previously had a heart surgery, with difficult decannulation. RESULTS The patient was consi...

We describe the case of a 54-year-old female with severe aortic stenosis and a background of severe comorbidities including prior radiotherapy for Hodgkin’s lymphoma, splenectomy, severe chronic obstructive pulmonary disease, scleroderma with laryngeal and esophageal involvement, and systemic and pulmonary hypertension. The patient underwent totally video-guided aortic valve replacement through...

We report a 10-year-old girl who developed persistent hoarseness after stent placement for the treatment of left pulmonary artery stenosis. Laryngoscopy performed 21 months after stent placement revealed left vocal cord paralysis, presumed secondary to compression of the left recurrent laryngeal nerve by the stent. Pediatric cardiologists should be reminded of this possible rare complication af...

Methods Thirteen patients with laryngotracheal stenosis were treated. Ten were males and 3 females with an age range of 4–60 years .The cause of airway stenosis was prolong intubation in 10, blunt trauma injury and idiopathic subglottic stenosis in 2 and 1consequence. Preoperative assessment included bronchoscopy, neck and chest CT scan to determine the extension of stenosis. The upper margin o...

OBJECTIVE To review our experience using posterior cricoid grafts to manage pediatric patients with isolated posterior glottic stenosis (PGS). DESIGN Retrospective review over a 12-year period. SETTING Tertiary care pediatric hospital. PATIENTS All patients with isolated PGS treated between 1990 and 2002, in whom PGS was the dominant airway lesion and laryngotracheoplasty was required. Pa...

The Montgomery tracheal tube (T-tube) is a device used as a combined tracheal stent and airway after laryngotracheoplasty for patients with tracheal stenosis. This device can present various challenges to anesthesiologists during its placement, including the potential for acute loss of the airway, inadequate administration of inhalation agents, and inadequacy of controlled mechanical ventilatio...