Objective: To develop an animal model for teaching open laryngotracheal surgical procedures.
Methods: The heads and necks from 5 pre-pubescent sheep were harvested after humane anesthesia. After 2-5 days to allow for rigor mortis to resolve, a specimen was supported with sandbags on an operating table. Operative procedures including tracheotomy, medialization laryngoplasty, anterior cartilage grafting, tracheal resection with primary anastomosis, and laryngectomy with closure of the pharynx were attempted.
Results: The ovine head and neck provided an accurate model for simulation of all attempted procedures. Ovine tissue resembled that of humans in mechanical properties and handling. Postsurgical endoscopy confirmed graft alignment.
Conclusions: The sheep head and neck provides an inexpensive, realistic, and safe model for surgical training for a variety of open laryngotracheal procedures. This is particularly relevant given the recent emphasis on surgical simulation and the relative rarity of some of these procedures in residency training.
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http://dx.doi.org/10.1016/j.wjorl.2018.04.002 | DOI Listing |
Cureus
November 2024
Otolaryngology - Head and Neck Surgery, King Saud University Medical City, Riyadh, SAU.
Subglottic and posterior glottic stenosis (PGS) narrows distinct areas of the larynx, while bilateral vocal fold immobility (BVFI) is characterized by static cords. Treatments include open surgeries and newer endoscopic methods, offering comparable safety, quicker recovery, and fewer complications. This study assesses the decannulation rate of endoscopic posterior cricoid split with posterior cartilage grafting (EPCCG) in pediatric patients with posterior glottic stenosis, subglottic stenosis (SGS), and BVFI.
View Article and Find Full Text PDFCureus
October 2024
Radiology Department, Hospital Regional Institute of Security and Social Services for State Workers (ISSSTE) Monterrey, Autonomous University of Nuevo León, Monterrey, MEX.
Spontaneous laryngeal rupture is an unusual event, typically caused by a sudden increase in barometric pressure and biomechanical forces within the laryngotracheal complex. Triggers often include actions such as coughing, sneezing, or violent retching. Given the delicate structures involved in this region, careful assessment is essential to ensure proper management and prevent complications.
View Article and Find Full Text PDFThorac Surg Clin
February 2025
Department of Otolaryngology-Head & Neck Surgery, Center for Complex Airway Reconstruction, Vanderbilt University Medical Center, 1215 21st Avenue South, Nashville, TN 37232, USA. Electronic address:
A surgeon managing complex airway disease benefits from knowledge of laryngeal physiology and pathology. The Larynx provides phonation and protection for the lower airway via closure and cough reflex. Disruption of these functions or development of paralysis or stenosis can lead to respiratory failure.
View Article and Find Full Text PDFThorac Surg Clin
February 2025
Department of Surgery, Section of Otolaryngology-Head and Neck Surgery, University of Chicago Medicine, 5841 South Maryland Avenue, Chicago, IL, USA. Electronic address:
Laryngotracheal stenosis (LTS) encompasses a spectrum of conditions characterized by the luminal narrowing of the supraglottis, glottis, subglottis, and/or trachea. However, endoscopic treatment methods are associated with significantly higher rates of restenosis compared to open techniques. The number of endoscopic modalities continues to expand without a clear consensus on the most appropriate treatment choice.
View Article and Find Full Text PDFLaryngoscope
November 2024
UCSF Voice & Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, San Francisco, California, U.S.A.
Objective: An increasing number of laryngeal and esophageal procedures are being performed as "awake" procedures (non-general anesthesia), with some under local anesthesia, including in clinic. While high tolerance and safety profiles have been reported for various laryngeal procedures, few studies directly assess tolerability of awake dilation procedures of the upper esophagus (UE) and laryngotracheal airway (LTA).
Study Design: Prospective, open-label.
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