A 42-year-old male presented with worsening gastroesophageal reflux disease symptoms and cough. The clinical symptoms during the early course of illness were striking for aspiration pneumonia. He was given a prescription of proton pump inhibitors and antibiotics. Rapid decline in the clinical condition with worsening respiratory status was noted. Worsening symptoms of fever, cough, and chest pa...

Background: speech and voice training for laryngectomized patients with tracheoesophageal prosthesis. Aim: to compare the quality of oral communication of a group of laryngectomized patients with tracheoesophageal prostheses, pre and post speech and voice training. Method: voice and speech samples of 17 laryngectomized patients were analyzed before and after receiving speech and voice training....

The introduction of magnetic toys has led to an increase in the incidence pediatric magnet ingestion. A previously healthy 3-year-old girl was referred our emergency room after ingesting multiple magnets more than a week ago. Although she did not show any subjective symptoms, imaging revealed three metallic foreign bodies trachea and upper esophagus, with aggregated lower-middle abdomen. total ...

background: ingestion of foreign bodies may result in the formation of a tracheoesophageal fistula (tef), which causes severe morbidity in children. we describe four cases of tef, who underwent emergent surgery for repair. case presentation: in this report, we present about four patients aged between 9 months to 2.5 years, who referred due to disc battery ingestion. there were two boys and two ...

OBJECTIVE To evaluate the use of a generous fasciocutaneous ulnar forearm free flap in pharyngoesophageal reconstruction. DESIGN Tertiary referral center. SETTING Private practice. PATIENTS From September 1, 1991, to October 30, 1996, 20 ulnar forearm free flaps were used to reconstruct the pharyngoesophagus in 19 patients after surgery for squamous cell carcinoma. There were 13 circumfer...

1. Atabaki S, Ochsenschlager D, Vezina G: Post-lumbar puncture headache and backache in pediatrics: A case series and demonstration of magnetic remnance imaging findings. Arch Pediatr Adolesc Med 19%; 153:770-3 2. McHale J, O'Donovdn FC: Postdnral puncture symptoms in a child. Anaesthesia 1997; 52:688 -90 3 . Wee LH, Lam F, Cranston AJ: The incidence of post dural puncture headache in children....

Background: In infants with esophageal atresia/tracheoesophageal fistula, excessive salivation, coughing, choking, cyanosis, and regurgitation associated attempts to eat may be seen, as well aspiration of gastric contents. Thus difficulties encountered during anesthetic management include ineffective ventilation due an endotracheal tube placed in the massive dilatation, preexisting severe lung ...

BACKGROUND We examined speech and swallowing outcomes and complications in patients with anterolateral thigh (ALT) flap reconstruction of cervical esophageal defects. METHODS We retrospectively reviewed 29 patients treated with laryngopharyngectomy and ALT flap reconstruction at The University of Texas M. D. Anderson Cancer Center from March 2002 to July 2004. We compared complication rates, ...

Tracheoesophageal fistula (TEF) is a relatively rare congenital anomaly. Surgical intervention is required to establish esophageal continuity and prevent aspiration and overdistension of the stomach. Since the first successful report of thoracoscopic TEF repair in 2000, the minimally invasive approach has become increasingly utilized. The main advantages of the thoracoscopic technique include a...

Background: Ingestion of foreign bodies may result in the formation of a tracheoesophageal fistula (TEF), which causes severe morbidity in children. We describe four cases of TEF, who underwent emergent surgery for repair. Case presentation: In this report, we present about four patients aged between 9 months to 2.5 years, who referred due to disc battery ingestion. There were two boys and two ...