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Pediatric Microlaryngoscopy Experiences in a Tertiary Hospital: A Retrospective Analyses of 105 Procedures.
Medicina (Kaunas)
October 2024
Department of Ear, Nose and Throat Surgery, Dokuz Eylul University, 35220 İzmir, Türkiye.
: Anesthesia for pediatric microlaryngoscopy/direct laryngoscopy and bronchoscopy (DLB) is very challenging. Airway management methods can vary from tubeless techniques to endotracheal intubation. In this study, we analyzed the pediatric DLB patients operated on in our tertiary hospital.
View Article and Find Full Text PDFSafety of Small-Diameter Endotracheal Tubes in Microlaryngeal Surgery.
Laryngoscope
October 2024
Department of Otolaryngology-Head & Neck Surgery, Washington University School of Medicine in St Louis, St Louis, Missouri, U.S.A.
Objectives: Microlaryngeal surgeries require unique considerations for airway management to facilitate patient safety and adequate surgical exposure. Small-diameter endotracheal tubes (ETTs) are widely used but have raised concerns regarding patient safety, including questions about the potential for barotrauma, effective ventilation, and adequate oxygenation. We hypothesize that small ETTs will prove to be safe in a variety of cases.
View Article and Find Full Text PDFUnusual case of Reinke's oedema.
BMJ Case Rep
July 2024
Department of Ear, Nose and Throat Surgery, The Royal London Hospital, Bart's NHS Trust, London, UK.
This case report describes a man in his mid 40s, with a history of chronic smoking, who presented with dysphonia. He underwent microlaryngoscopy and biopsy for a suspicious lesion on the anterior right vocal cord. Mask ventilation proved difficult on induction of general anaesthesia due to a solid lesion acting as a ball valve into the glottis.
View Article and Find Full Text PDFPreoperative Acetaminophen For Microsuspension Laryngoscopy Reduces Postoperative Opioid Use.
Laryngoscope
November 2024
Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Objectives: The opioid crisis has prompted consideration of analgesic prescriptions. This study explored the value of preoperative acetaminophen for pain control following microsuspension laryngoscopy (MSL) and compared the results with a previous study of pain and opioid use following MSL (Tsang et al.).
View Article and Find Full Text PDF[Review of surgical treatment of suprastomal collapse in tracheostomised children].
HNO
November 2024
Klinik für Hals‑, Nasen‑, Ohrenkrankheiten, Plastische Operationen, Klinikum Stuttgart - Olgahospital, Stuttgart, Deutschland.
Background: Suprastomal collapse (SSC) is considered a major late complication of paediatric tracheostomy and can be responsible for decannulation failure in up to 20% of tracheostomised children. Depending on the severity of SSC, surgery may be required. Various strategies and techniques are available, of which the treating with airway team should be aware.
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