Assessment and management of laryngotracheal stenosis

Leff, Ben E.; Eliachar, Isaac; Strome, Marshal

doi:10.1097/00020840-199604000-00014

Cited by 1 publication

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“…Various surgical procedures have been described and should be selected according to the patient's particular problem 11,13 . Surgical correction of moderate to severe laryngeal stenosis can be achieved by complete bisection of the larynx and insertion of rib or cartilage obtained from the nasal septum or thyroid ala posteriorly separating the stenosed cricoid cartilage, and if necessary, anteriorly separating the front of the larynx 14 . The procedure has a high success rate but was unfortunately considered too risky in our patient in view of her obesity and co-morbid pathology.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Vocal Cord Palsy following Interscalene Brachial Plexus Nerve Block

Plit

Chhajed

Macdonald

et al. 2002

Anaesth Intensive Care

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Acute respiratory complications of an interscalene brachial plexus block include ipsilateral phrenic nerve and recurrent laryngeal nerve palsies. A 71-year-old woman who had undergone a total thyroidectomy for papillary carcinoma 35 years ago was administered a right interscalene brachial plexus block for a shoulder hemi-arthroplasty. Subsequently she developed acute respiratory distress associated with marked stridor secondary to an acute right vocal cord palsy, which was superimposed on what was assumed to be a preexisting left-sided vocal cord palsy. On extubation the patient was noted to develop stridor again necessitating reintubation and tracheostomy was performed two weeks later. The vocal cord palsies failed to resolve over the subsequent 18-month follow-up. We describe this case to highlight the significant risk of this procedure in patients with preexisting or suspected contralateral vocal cord palsy.

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Section: Discussionmentioning

confidence: 99%