background: the most common congenital abnormality of esophagus is esophageal atresia (ea) that can occur with or without tracheoesophageal fistula. other associated anomalies are the leading cause of death in these patients. the present study aimed to evaluate the main complication, outcomes and cause of death in neonate with ea repaired in amirkola children’s hospital (ach), iran within a 13 ...

Although surgery is the usual management strategy for acquired benign tracheoesophageal fistula, sometimes this approach is contraindicated or the patient declines surgical management. In this report, we describe a case of a patient with tracheoesophageal fistula at the level of the carina due to bronchial arterial infusion chemotherapy. Closure could not be achieved in response to multiple tre...

Long-term voice outcomes of 13 tracheoesophageal speakers are assessed using speech samples that were recorded with at least 7 years in between. Intelligibility and voice quality are perceptually evaluated by 10 experienced speech and language pathologists. In addition, automatic speech evaluations are performed with tools from Ghent University. No significant group effect was found for changes...

Loss of voice after total laryngectomy propter laryngeal cancer disables a person to successfully communicate with patient environment and can lead to total isolation. Learning esophageal speech in some cases is not successful. Vocal prosthesis insertion can resolve this condition. This retrospective study shows voice and speech rehabilitation in patients after total laryngectomy and installati...

OBJECTIVES/HYPOTHESIS To investigate and treat the late complications of using nickel-titanium alloy stents in laryngotracheal, bronchial, and esophageal stenosis patients who developed severe laryngotracheal stenosis (SLS). STUDY DESIGN Retrospective clinical study. METHODS Thirteen patients with SLS or tracheoesophageal fistula secondary to insertion of a nickel-titanium alloy stent for t...

although there have been various studies on the agents reducing pain in infants, but inadequate researches are available in which the effect of low dose of fentanyl in pain reducing in infants has been investigated. to find out the low dose effect of fentanyl on the pain reducing resulted from lumbar puncture in infants. this randomized double blind clinical trial was done on the 82 infants in ...

A 26-year-old lady was referred for evaluation of dysphagia. The patient had consumed 50 ml of organophosphorus (OP) components of liquid pesticide 4 months ago and was on ventilatory support with a tracheostomy tube because of OP-poisoning-induced respiratory failure. Treatment included injection of atropine, pralidoxime and other supportive care, and the patient recovered. The patient develop...

Primary prosthetic voice restoration by performing tracheoesophageal puncture (TEP) and immediate insertion of a voice prosthesis at the time of total laryngectomy (TLE) is presently the method of choice. This enables the easiest and most comfortable voice rehabilitation with the patient still under general anesthesia when the first prosthesis is inserted. Reconstruction of the pharynx with e.g...

A 64-yr-old man was admitted because of repeated pneumonia. Both fiberoptic bronchoscopy and esophagoscopy revealed a large tracheoesophageal fistula (15 mm) in the right posterior trachea 1 cm beyond the carina. Coated nickel-titanium shape memory alloy Y shaped stent was planned to seal this fistula under general anesthesia. We took advantage of laryngeal mask airway to insert the fiberoptic ...