this remains attached to the tongue, but is wholly separated from the larynx. (Edema of the glottis is universally allowed to be the great danger of such a wound, and the remedy for the oedema, when it occurs, is correctly stated to be tracheotomy, The object of this paper is to show that tracheotomy may be advantageously performed in anticipation of edema. Not many surgeons, I suppose, can bas...

Laryngocele is an abnormal dilatation of Morgagni ventricle (saccule) in direct communication with the laryngeal lumen. Symptoms are not characteristic: hoarseness, dyspnea, foreign body sensation and cough. Sometimes it is presented as cervical swelling causing airway obstruction and need an emergency tracheotomy. In this paper, we report a case of upper airway obstruction due to laryngocele a...

BACKGROUND Tracheotomy is an indispensable component in intensive care management. Doctors in charge of the intensive care unit (ICU) usually decide whether tracheotomy should be performed. However, long-term follow-up of a closed fistula by these doctors is rarely continued in most cases. Doctors in charge of the ICU should be interested in the long-term prognosis of tracheotomy. The purpose o...

"Retraction of the soft parts of the anterior chest wall during inspiration, together with the more or less complete suppression of voice, are the indications par excellence for the performance of tracheotomy. "Tracheotomy is in no sense a therapeutic measure; therefore, neither the local nor the general treatment of diphtheria should be suspended after the performance of the operation. " The c...

BACKGROUND When a patient cannot be intubated or ventilated, cricothyrotomy is indicated. Risks associated with emergent cricothyrotomy are significant, and this procedure typically requires revision. Additional options for establishing an emergent airway are limited. Thus, elective tracheotomy to ensure a safe airway after procedures involving the upper aerodigestive tract is common. Although ...

OBJECTIVE The purpose of this study is to evaluate the airway dynamics of the upper airway as depicted on cine MRI in children with tracheotomy tubes during two states of airflow through the upper airway. MATERIALS AND METHODS Sagittal fast gradient echo cine MR images of the supra-glottic airway were obtained with a 1.5T MRI scanner on seven children with tracheotomy tubes. Two sets of image...

BACKGROUND Deglutition disorders are frequent in patients treated for cancer of the oropharynx, and are responsible for severe aspiration and, in some cases, may require the use of enteral nutrition by gastrostomy or tracheotomy. METHODS We present the case of a patient with a medical history of infiltrating laryngeal carcinoma treated by partial laryngectomy and radiochemotherapy, presenting...

BACKGROUND Amyotrophic lateral sclerosis (ALS) is a rare disease in Taiwan; thus, estimation of ALS mortality is difficult. We evaluated factors associated with ALS survival in Taiwan. METHODS The study enrolled 1149 Taiwanese with a primary diagnosis of ALS during 1999-2008. Follow-up information was available for all patients; mean (SD) duration of follow-up was 2.91 (2.62) years. Medical i...

OBJECTIVES To describe hospital volumes for common pediatric specialty operations, to evaluate hospital and patient characteristics associated with operations performed at a low-volume hospital, and to evaluate outcomes with hospital volume. DESIGN Retrospective cohort using the Kids' Inpatient Database 2003. SETTING Discharges from 3438 hospitals in 36 states from 2003. PARTICIPANTS Chil...

introduction: pharyngocutaneous fistula (pcf) is the most common complication after total laryngectomy. its incidence is extremely variable, with values ranging from 3% and 65%. the management of this problem considerably increases the length and the cost of hospitalization.  the aim of this study is to analyze the incidence, predisposing factors, and outcome of pcf in patients undergoing total...