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Airway management of major blunt tracheal and esophageal injury: A case report.
Ulus Travma Acil Cerrahi Derg
January 2022
Department of Anesthesiology, İstanbul University İstanbul Faculty of Medicine, İstanbul-Turkey.
Trans-sectional injuries of trachea are quite rare and can be extremely challenging for anesthesiologists to deal with. About 25% of post-traumatic deaths are due to thoracic traumas in which blunt injuries take a rather small place within and the resultant damage of respiratory tract is quite rare with an incidence of 0.5-2%.
View Article and Find Full Text PDFHypopharyngeal reconstruction with gastro-omental free flap.
Eur Ann Otorhinolaryngol Head Neck Dis
October 2021
CHU de Grenoble Alpes (CHUGA), 38043 Grenoble Cedex 09, France; Faculté de médecine Grenoble Alpes, 38043 Grenoble Cedex 09, France.
Three types of reconstruction are possible following total laryngopharyngectomy (TLP) for advanced hypopharyngeal cancer: locoregional tubularized island flaps, gastric pull-up and free flaps. Gastro-omental free flap (GOFF) is rarely used in this setting. However, because of its composite nature, this flap has the advantage of being able to restore digestive continuity and reconstruct part of the skin of the neck when it needs to be sacrificed because of tumour invasion or poor trophicity.
View Article and Find Full Text PDFManagement of the airway through cervical faringostoma by radionecrosis.
Rev Esp Anestesiol Reanim
December 2017
Servicio de Anestesiología y Reanimación, Hospital Universitario Marqués de Valdecilla, Santander, España.
National Database Analysis of Single-Level versus Multilevel Sleep Surgery.
Otolaryngol Head Neck Surg
May 2017
6 University of Southern California, Los Angeles, California, USA.
Objective Recent evidence suggests that multilevel sleep surgery improves outcomes when compared with palate surgery alone for most patients. The study objective was to compare demographic and outcomes data for palate surgery (uvulopalatopharyngoplasty [UPPP]) alone versus multilevel surgery through a national insurance claims database. Study Design Retrospective cohort study.
View Article and Find Full Text PDFPharyngotomy for a swallowed denture.
J Perioper Pract
September 2016
Emeritus Professor of Surgery, University of London, Department of Anatomy, Guy's Hospital, London, UK.
The introduction of inhalation anaesthesia, first by the use of ether in 1845 and then of chloroform in the following year, saw an explosion in the range and extent of major surgical procedures as patients were spared the agonies of the surgeon's knife. A good example of this was the operation of pharyngotomy - opening the cervical oesophagus through a lateral incision of the neck - to remove an impacted foreign body. One cannot imagine a surgeon being able to do this without the benefit of an anaesthetic! Edward Cock, a surgeon at Guy's Hospital, performed this operation successfully on two occasions; the second was reported in detail in the Guy's Hospital Reports 1868, Volume 28.
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