This article reviews (a) risk factors and preoperative considerations of the patient with tracheoesophageal fistula, (b) anesthetic management, including (i) airway management, (ii) induction of anesthesia and monitoring and (iii) postoperative disposition, (c) considerations for concomitant congenital heart disease, (d) considerations for thoracoscopic repair and (e) long-term outcomes and con...

OBJECTIVES/HYPOTHESIS To describe the speech rehabilitation outcomes of patients undergoing total laryngectomy (TL) in the 21st century. STUDY DESIGN Retrospective chart review. SETTING Tertiary academic center SUBJECTS AND METHODS Retrospective review of 167 patients who underwent TL from June 2000 to February 2012. Demographics, disease variables, and surgical factors were reviewed. Pri...

Submit Manuscript | http://medcraveonline.com Abbreviations: TEF: Tracheoesophageal Fistula; VATER/ VACTERL: Vertebral defects, Anal atresia, Cardiac defects; TracheoEsophageal fistula, Renal malformations, and Limb defects; NG: Nasogastric tube; GA: General Anaesthesia; RA: Regional Anaesthesia; EA: Epidural Anaesthesia; ECG: Electrocardiogram; ECHO:Echocardiography; Inj.: Injection; PCV: Pack...

We herein report a case of unsuturable tracheoesophageal fistula developed after chemotherapy of a mediastinal lymphoma. Esophageal exclusion was primary performed to prevent continued contamination of the respiratory tract. In a second stage procedure the fistula was patched with the esophageal posterior wall and the digestive tract was restored by a substernal colic bypass. This case leads to...

a twenty-year-old girl was referred with tracheal stenosis (ts) which was a consequence of prolonged intubation after head injury because of previous car accident. the patient was aphasic and had normal respiration. fiberoptic bronchoscopy showed complete tracheal obstruction at second tracheal ring level. distal trachea was normal through tracheostomy tube. removal of the tracheostomy tube and...

Tracheoesophageal fistulas can arise from both benign and malignant conditions, and often present clinically as increased secretions, coughing with or without hypoxia after swallowing, and recurrent aspiration pneumonia. We describe a tracheoesophageal fistula in a post-chemotherapy lymphoma patient that was closed with use of an over-the-scope Aponos clip.

INTRODUCTION After total laryngectomy, voice rehabilitation can be achieved by use of voice prosthesis insertion (e.g., BlomSinger, InHealth Technologies, Carpinteria, CA; Provox, Atos Medical, H€orby, Sweden; Tracoe, Tracoe Medical, Frankfurt, Germany) or an esophageal voice or assistive digital speech device (e.g., Servox, Servox AG, Troisdorf, Germany). Various studies have shown that insert...

abstract background: the most common complication of lumbar puncture (lp) occurring in over thirty percent of patients is headache. the position after lumbar puncture, needle type and size, and volume of the extracted cerebrospinal fluid (csf) have been evaluated as contributory factors in occurrence of post lumbar puncture headache (plph), but the position before lumbar puncture has not been e...