Publications by authors named "T Nawka"
Objectives: To describe the inside out surgical anatomy of the superior laryngeal artery and to resolve the ambiguities in the nomenclature of its main branches.
Study Design: Endoscopic dissection of the superior laryngeal artery in the paraglottic space of larynges of fresh frozen cadavers and a review of the literature.
Setting: A center for anatomy encompassing facilities for latex injection into the cervical arteries of human donor bodies and a laryngeal dissection station equipped with a video-guided endoscope and a 3-dimensional camera.
Article Synopsis
- The study compared the effectiveness of vocal fold steroid injection (VFSI) and surgical excision in treating vocal fold nodules (VFNs) in 32 patients aged 16-63.
- Both treatment methods resulted in significant reductions in nodule size and improved voice quality, as shown by subjective and objective assessments.
- VFSI proved to be a safe and effective alternative to surgery for VFNs, with voice outcomes comparable to those achieved through traditional surgical means.
The inside-out surgical anatomy of the paraglottic space a video-guided endoscopic dissection.
Laryngoscope Investig Otolaryngol
February 2023
Objectives: The paraglottic space is an essential anatomic compartment of the larynx. It is central to the spread of laryngeal cancer and to the choice of conservative laryngeal surgery and many phonosurgical procedures. Since its description, 60 years ago, the surgical anatomy of the paraglottic space was sparsely revisited.
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- The management of dysphagia requires a multidisciplinary approach, involving professionals such as phoniatricians, otolaryngologists, and speech-language therapists, which presents challenges in expertise and resources.
- The flexible roles within the dysphagia team allow for overlapping responsibilities, with the fibreoptic flexible endoscopic evaluation of swallowing (FEES) being a key diagnostic tool.
- This position paper highlights the critical role of phoniatricians in conducting FEES, particularly for patients with oropharyngeal dysphagia and those with complex needs like head and neck cancer.