There is a wide variety of devices and materials to be implanted into the human larynx. Some are intended to remain only for a period of time, like laryngeal stents. If removal is not intended the device meets the definition for a medical implant. The majority of implants is used for the treatment of unilateral vocal fold immobility. There a 2 types of implants serving this purpose: Implants in a stricter sense are devices of solid material, which are brought into the paraglottic space through a window in the laryngeal framework (medialization thyroplasty). Several different products are presented in this review. In contrast, there are different substances available for endoscopic injection into the paralyzed vocal fold (injection laryngoplasty). Since some of these substances show a corpuscular consistency and a high viscosity they need to be deposited into the lateral paraglottic space. Therefore, the term "injectable implants" has been coined for these materials. The different substances available are discussed in detail in this review. Laryngeal stents are primarily used in the early postoperative phase after open reconstruction of the larynx. The different devices available on the market are described with their specific characteristics and intended use.
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http://dx.doi.org/10.1055/s-0028-1119503 | DOI Listing |
Vestn Otorinolaringol
December 2024
Pirogov Russian National Research Medical University, Moscow, Russia.
The article presents a literature review that analyzes methods of stenting the laryngeal-tracheal lumen after reconstructive surgical interventions. 49 literature sources were studied. The advantages and disadvantages of existing stents are determined.
View Article and Find Full Text PDFWorld J Otorhinolaryngol Head Neck Surg
December 2024
ENT Department King Hamad University Hospital, Kingdom of Bahrain Muharraq Bahrain.
The diagnosis and staging of head and neck tumors requires proper clinical, endoscopic, and radiological evaluation. Currently, imaging techniques such as Magnetic Resonance Imagining (MRI) and Computed Tomography (CT) are used for head and neck tumors but are limited in showing involvement of different hypopharyngeal sub-compartments. Several maneuvers have been developed to improve visualization of the head and neck area; however, they demonstrated minimal benefit.
View Article and Find Full Text PDFLin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
October 2024
OTO Open
September 2024
Department of Otolaryngology-Head and Neck Surgery King Saud University Medical City, College of Medicine, King Saud University Riyadh Kingdom of Saudi Arabia.
Objective: The objective of our study was to document the feasibility of a novel endoscopic anterior cricoid split and rib grafting technique in a goat airway model.
Study Design: Feasibility pilot animal study.
Setting: Animal surgical laboratory at a tertiary hospital and research center.
Respirol Case Rep
September 2024
Division of Respiratory and Critical Care Medicine, Department of Internal Medicine Ulsan University Hospital, University of Ulsan College of Medicine Ulsan Republic of Korea.
As the demand for advanced bronchoscopic procedures increases, prolonged sedation with adequate oxygenation has become essential. Traditionally, these procedures require an anesthesiologist to provide (positive-pressure or jet) ventilator support. However, recent innovations have enabled advanced bronchoscopy under high-flow endotracheal oxygenation and deep sedation without these requirements.
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