Endoscopic laser repair of posterior glottic, subglottic and tracheal stenosis by division or micro‐trapdoor flap

Dedo, Herbert H.; Sooy, C. Daniel

doi:10.1288/00005537-198404000-00001

Cited by 162 publications

(67 citation statements)

References 16 publications

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“…Rotation of mucosal flaps into the exposed surfaces may prevent adhesion formation and restenosis. 82,83 If the glottic scar does not respond to conservative lysis of the posterior commissure, then unilateral cordotomy and partial arytenoidectomy may help improve glottic airway patency, although at the cost of possible breathy dysphonia.…”

Section: Larynxmentioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

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Although endotracheal intubation is commonly performed in the hospital setting, it is not without risk. In this article, we review the impact of endotracheal intubation on airway injury by describing the acute and long-term sequelae of each of the most commonly injured anatomic sites along the respiratory tract, including the nasal cavity, oral cavity, oropharynx, larynx, and trachea. Injuries covered include nasoseptal injury, tongue injury, dental injury, mucosal lacerations, vocal cord immobility, and laryngotracheal stenosis, as well as tracheomalacia, tracheoinnominate, and tracheoesophageal fistulas. We discuss the proposed mechanisms of tissue damage that relate to each and present their most common clinical manifestations, along with their respective diagnostic and management options. This article also includes a review of complications of airway management pertaining to video laryngoscopy and supraglottic airway devices. Finally, potential strategies to prevent intubation-associated injuries are outlined.

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Section: Larynxmentioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

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“…Treatment of posterior glottic stenosis is still difficult; there are several available procedures and techniques, including endoscopic dilatation 30 , corticosteroids injected into lesions 8 , laryngofissure with posterior cricoidotomy 11 , excision of scars with placement of skin or mucosal grafts, and placement of different types of molds 10,31,32 . We initially used the microtrapdoor flap technique bilaterally, according to Dedo & Sooy's 10 original technique, in eight patients with a larger amount of interarytenoid mucous tissue.…”

Section: Discussionmentioning

confidence: 99%

Bilateral vocal fold immobility: diagnosis and treatment

Pinto¹,

Godoy²,

Marquis³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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Vocal fold immobility may be due to bilateral neurogenic paralysis, cricoarytenoid joint fixation, laryngeal synechiae, or posterior glottic stenosis. Treatment aims to establish a patent airway and preserve the function of the glottic sphincter and voice quality. Objetives:To analyze the diagnostic and therapeutic approaches in cases of bilateral vocal fold immobility seen at our unit. Materials and Methods:A retrospective study of 35 patient registries at our unit with a diagnosis of bilateral vocal fold immobility; the etiology and treatment results were evaluated.Results: Among the patients, 18 (51.4%) were cases of bilateral vocal fold palsy, and 17 (48,6%) were cases of posterior glottic stenosis. Patients with bilateral palsy underwent unilateral subtotal arytenoidectomy, and patients with stenosis were treated with the microtrapdoor flap technique, subtotal arytenoidectomy, and/or posterior cricoidotomy (Rethi). Conclusion:Bilateral vocal fold immobility is a potentially fatal condition; it is essential to differentiate vocal fold palsy from fixation to choose the appropriate treatment. Subtotal arytenoidectomy with microscopy is our surgery of choice for treating bilateral paralysis; the technique for treating stenosis depends on the amount of stenosis. Braz J Otorhinolaryngol. 2011;77(5):594-9. ORIGINAL ARTICLE BJORL

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“…It can vaporise scar and granulation tissue with minimal bleeding and with minimal damage to healthy tissue. It can be used during endoscopy or in conjunction with tracheoplasty (Dedo and Sooy, 1984). The successful use of laser treatments depends on the availability of the equipment, the location of the stenosis, the familiarity with its use by the otolaryngologist and anaesthesio logist, and a variety of safety factors.…”

Section: Discussionmentioning

confidence: 99%

Glottic and tracheal stenosis in spinal cord injured patients

et al. 1987

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SummaryBetween 1965 and 1985, 47 cases of glottic and/or tracheal stenosis were diagnosed at the Rocky Mountain Regional Spinal Cord Injury System. A retrospective review of medical records identified associated injuries, pulmonary and other medical complications in this patient population. Radiographic and endoscopic reviews utilised a grading system to classify the severity of stenosis. The clinical symptoms of stenosis were multiple, including dysphonia, aspiration, dysphagia, odynophagia, dyspnea and excessive secretions. The wide spectrum of treatment modalities included endoscopy with excision and/or dilation, general medical management, steroids, radiation therapy, intubation, stent insertion and surgical repair of the stenotic area. Outcome status was reviewed and suggestions provided for the early diagnosis and treatment of this potentially life-threatening condition.

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Endoscopic laser repair of posterior glottic, subglottic and tracheal stenosis by division or micro‐trapdoor flap

Cited by 162 publications

References 16 publications

Complications of Airway ManagementDiscussion

Complications of Airway ManagementDiscussion

Bilateral vocal fold immobility: diagnosis and treatment

Glottic and tracheal stenosis in spinal cord injured patients

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