[Larynx: implants and stents].

Laryngorhinootologie

Klinik für Hals-, Nasen-, Ohrenkrankheiten, Plastische Operationen, Klinikum Stuttgart-Katharinenhospital, Stuttgart.

Published: May 2009

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.

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0028-1119503DOI Listing

Publication Analysis

Top Keywords

laryngeal stents
8
vocal fold
8
paraglottic space
8
[larynx implants
4
implants stents]
4
stents] wide
4
wide variety
4
variety devices
4
devices materials
4
materials implanted
4

Similar Publications

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 PDF

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 PDF
Article Synopsis
  • The study compares the effects of different surgical methods (staged resection, one-stage surgery with laryngeal stent, and simple CO₂ laser excision) on early glottic cancer involving the anterior commissure in 83 patients with T1-2N0M0 stage cancer.
  • Important outcomes assessed include primary tumor control, vocal function recovery measured by VHI-10 and MPT, and postoperative adhesion rates and degree of vocal cord adhesion.
  • Results showed that Group C (simple CO₂ laser excision) had a higher adhesion rate and poorer vocal function recovery compared to Groups A (staged resection) and B (one-stage with stent), indicating that methods involving more invasive procedures may lead
View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!