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Supraglottoplasty outcomes and peri-operative care in congenital laryngomalacia.

Eur Arch Otorhinolaryngol

January 2025

Department of Otolaryngology, Robert Debre Hospital, Assistance Publique Hôpitaux de Paris (APHP) and Paris University, 48, Boulevard Sérurier, 75019, Paris, France.

Objectives: This study aimed to identify factors predicting postoperative ICU admission, the need for orotracheal intubation (OTI), and the occurrence of supraglottic stenosis in children undergoing supraglottoplasty for laryngomalacia.

Methods: A retrospective analysis was conducted on 31 children (Dear Reviewer, we would have greatly preferred to include a larger sample size. However, as you know, this type of management is rare, and we deliberately selected a 7-year period to ensure a minimum of 30 children while avoiding significant differences in management guidelines over time.

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Background: The indications for pediatric airway endoscopy are expanding and a variety of therapeutic interventions are feasible for central airway obstruction (CAO) and other central airway pathologies, apart from foreign body removal.

Methods: In this retrospective chart review from four centers, we describe the indications, procedures, outcomes, and complications of therapeutic bronchoscopic interventions in children for non foreign-body removal indications.

Results: A total of 72 children (mean age:140 [60.

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Article Synopsis
  • * A case study illustrates a patient with multiple squamous cell carcinomas in the tonsil, epiglottis, and esophagus, who sought therapy for swallowing issues after surgery.
  • * Through an 8-week rehabilitation program, including various therapeutic techniques, the patient improved significantly and was able to resume partial eating without aspiration after addressing an anastomotic stricture.
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Non-intubated Airway Surgery.

Thorac Surg Clin

February 2025

Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou 510120, P.R. China. Electronic address:

Nonintubated airway surgery is an innovative procedure for tracheal tumors or stenosis. It avoids intubation and the interference of cross-field intubation, reducing airway trauma and postoperative complications. Utilizing supraglottic devices and short-acting anesthetics, it maintains spontaneous ventilation, facilitates surgery, and enhances recovery after surgery.

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  • A male patient in his 60s collapsed and exhibited pulseless electrical activity when ambulance personnel arrived; they inserted a supraglottic airway and transported him to a hospital.
  • Upon arrival, he regained circulation and was diagnosed with Stanford type B acute aortic dissection, along with swelling in his neck.
  • The cardiac arrest was attributed to severe airway narrowing caused by a retropharyngeal hematoma related to the aortic dissection, highlighting the need for thorough airway evaluation in such cases.
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