Two patients suffered perforation of the oesophagus during attempted placement of a cricothyroid minitracheostomy. We discuss the probable mechanisms and means of preventing such a recurrence.
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Immediate repair of the recurrent laryngeal nerve during thyroid surgery via a tension-free end-to-side anastomosis with the Vagus.
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January 2025
1St Propaedeutic Surgical Department, University Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki (AUTH), 5462, Thessaloniki, Greece.
The unprecedented technical and technological evolution in thyroid surgery has labelled it as an extremely safe and efficient procedure, and indeed "typifies perhaps better than any other operation the supreme triumph of the surgeon's art."-William Halsted, 1852-1922. Surgeon's experience reflected by annual case load is the most important denominator in thyroid surgery.
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Background: Total laryngectomy is an essential surgical intervention in the management of advanced laryngeal carcinoma. However, anatomical variations such as the bovine arch can complicate this procedure. The atypical branching pattern of the bovine arch may position major vessels closer to the tracheostomy site, increasing the risk of tracheo-arterial fistulization.
View Article and Find Full Text PDFMyoneurectomy for Adductor Spasmodic Dysphonia: Long-Term Outcomes, Complications, and Recurrence.
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November 2024
Department of Otorhinolaryngology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
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Department of Radiation Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India.
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