The current study was conducted to highlight the use of plasma ablation as a promising method in management of adult laryngotracheal stenosis. We present our institutional experience with a minimum follow-up of 6 months. Seventy adult patients with acquired postintubation laryngotracheal stenosis were included. Efficacy and clinical outcomes of plasma ablation in endoscopic management and eventual decannulation rate were studied. Number of patients with Myer-Cotton stenosis grades 1, 2, 3, and 4 were 20, 25, 18, and 7, respectively. The mean number of surgical interventions required in each grade of stenosis were 1, 2, 3.8, and 4, respectively. Overall, 47 patients (67%) were without tracheotomy by the end of 6 months. Plasma ablation is an effective treatment option for adult laryngotracheal stenosis, with a better success rate for lower-grade stenosis. It has lesser complications and requires fewer surgical interventions.
Bilateral chylothorax after neck dissection is very rare but dreadful complication and its pathologic mechanism is also not clearly known. Early clinical suspicion, diagnosis with commencement of conservative management will most of the times improve the symptomatology of the patient. In present study, we reported a sporadic case of and bilateral chylothorax after neck dissection. The management in this case was also different and less invasive than the previously reported cases. Present case report will help in filling gap in existing knowledge about management of disease and will help in development of new treatment modalities.
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