OBJECTIVES To refine the classic definition of, and provide a working definition for, congenital high airway obstruction syndrome (CHAOS) and to discuss the various aspects of long-term airway reconstruction, including the range of laryngeal anomalies and the various techniques for reconstruction. DESIGN Retrospective chart review. PATIENTS Four children (age range, 2-8 years) with CHAOS wh...

We present a case of a fisherman who swallowed a live fish, which resulted in severe upper airway obstruction. The firm attachments of the fish's external fins and scales to the airway limit the removal when impacted. We outline our emergency airway management strategies and focus our discussion on the technique used to remove the impacted fish from the upper airway, which was paramount for the...

plasmose generalisse avec localisation laryngee et endocaroite. An acute aortic dissection with rupture in the descending aorta led to suffusion of blood into the soft tissue of the neck with sufficient pressure to cause not only superior vena cava obstruction, but also trachea! obstruction. RA = right atrium; LA = left atrium; PA = pulmonary artery; Th = thrombus. Airtic dissection results fro...

Imposed upper airway obstruction was diagnosed as the cause of recurrent and severe cyanotic episodes in 14 patients. Episodes started between 0.8 and 33 months of age (median 1.4) and occurred over a period of 0.8 to 20 months (median 3.5). Diagnosis was made by covert video surveillance, instituted after either (a) the observation that episodes began only in the presence of one person, or (b)...