Glottic Web

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Post-Intubation Tracheoesophageal Fistula with Posterior Glottic Web

Tracheoesophageal fistula (TEF) after prolonged intubation could present as chronic aspiration and could be mistaken as unilateral or bilateral vocal fold palsy, especially when there was combined posterior glottic synechia. We present a case of post-intubation TEF which was successfully treated with tracheal resection and anastomosis with primary esophageal closure. The accompanying posterior ...

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Reconstructive transoral laser microsurgery for posterior glottic web with stenosis.

OBJECTIVES/HYPOTHESIS To demonstrate that reconstructive transoral laser microsurgical (R-TLM) techniques can be used for the treatment of symptomatic laryngeal posterior glottic web-based stenosis (PGWS) in a large cohort of patients utilizing a postcricoid mucosal advancement flap (PCMAF). STUDY DESIGN Retrospective cohort review. METHODS A consecutive series of patients with PGWS who und...

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Recurrent glottic cancer.

CASE PRESENTATION A 71-year-old man is referred for evaluation of hoarseness and a right vocal fold lesion. The patient reports that 4 years ago, he was diagnosed with a squamous cell carcinoma (SCC) of his right true vocal fold. He was treated with radiation therapy over 7 weeks to his larynx to a total dose of 70 Gy in 200-cGy fractions. A diagrammapping his original tumor was not available b...

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Management of Early Glottic Cancer

The management of early glottic cancer has evolved significantly over the past decade, with transoral laser (TOL) surgery and radiotherapy emerging as the two most prevalent treatment modalities. The selection of one modality over another continues to generate controversy. With both modalities showing similar efficacy with regard to survival and oncologic outcomes, the selection of one modality...

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Posterior glottic stenosis in adults.

BACKGROUND Posterior glottic stenosis is a complication of prolonged intubation, manifesting as airway stenosis that may mimic bilateral vocal cord paralysis. It presents a variety of features that mandate specific surgical interventions. OBJECTIVES To summarize our experience with PSG and its working diagnosis. METHODS We conducted a retrospective review of a cohort of adult patients with ...

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ژورنال

عنوان ژورنال: Anesthesiology

سال: 2020

ISSN: 0003-3022

DOI: 10.1097/aln.0000000000003163