1. Tracheotomy.?Hindu female, out. 36. Has suffered from strumous laryngitis for two years, and had great difficulty of breathing for eight days. Tracheotomy was performed above the isthmus; immediate relief was obtained. The tube was worn for eight days, and the wound healed within a week after its removal. 2. Operations for strangulated hernia?i. Hindu male, cat. 30. Left oblique inguinal her...

BACKGROUND Deep neck infections are important otolaryngologic emergencies due to serious complications and the risk of airway compromise, which can lead to mortality. Although the most common causes among pediatric patients are tonsillitis and pharyngeal infections, odontogenic infections are an important cause in adults. CASE REPORT We present three patients with multiple deep neck space abs...

Even though management of thyroid cancer is generally standardized and has an overall excellent long-term outcome, anaplastic thyroid cancer (ATC) continues to be a major diagnostic and therapeutic challenge. ATC is an uncommon thyroid malignancy with a poor prognosis. American Thyroid Association guidelines acknowledge the complexity of airway management in these patients. We studied the liter...

During the acute phase of transient bilateral paralysis after thyroid surgery, a tracheotomy unfortunately remains the solution in most emergency situations. The author describes and discusses the case of a totally thyroidectomized female patient, who presented fifteen days after surgery with bilateral vocal cord paralysis resulting in dyspnea and exhaustion. After tracheotomy refusal, a unilat...

We read with interest the recent study of NSEIR et al. [1], which demonstrated that tracheotomy was independently associated with a decreased risk of ventilator-associated pneumonia (VAP). The authors offered several potential explanations as to why tracheotomised patients should be at decreased risk of VAP compared to patients with translaryngeal intubation. These included liberation of the vo...

Case presentation In 1799, Elisha Cullen Dick, a former pupil of Benjamin Rush, was called to help attend to GeorgeWashington. Dr. Dick and two other physicians used copious bleeding in addition to other medical procedures. Dr. Dick suggested that a tracheotomy be performed to relieve the General’s obstructed airway. This suggestion was overruled andWashington died of obstruction from an upper ...

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...

 Background: The most common laryngeal mass in children is recurrent respiratory papillomatosis (RRP).  Studies have attempted to correlate viral typing and its aggressiveness. Method: 29 patients with histologically confirmed RRP enrolled in adjuvant therapies. Patients underwent several surgical interventions. Results: HPV genotyping demonstrated 45% HPV-6 and 55% HPV-11. The mean age at the ...