An 18 year-old woman presented with massive cervical lymphadenopathy. She also had bilateral parotid gland enlargement, and later upper airway obstruction from subglottic mass compression. Surgical excision of lymph nodes and bilateral total parotidectomy with facial nerve preservation were selected. Direct laryngoscopy and CO2 laser excision were used to remove the subglottic mass. Airway was ...

A 68-year-old patient with a pT3pN2 duodenal adenocarcinoma underwent pancreaticoduodenectomy. Because the jejunal loop was anastomosed with a previous gastroenterostomy, endoscopic examination of the pancreatic and biliary anastomoses was easily feasible. On the 5th postoperative day, the patient developed septic shock and multiorgan failure; bilious secretions were noted coming from the abdom...

OBJECTIVE To analyze the level of sedation in intubated children as a risk factor for the development of subglottic stenosis. METHODS All patients between 30 days and 5 years of age who required endotracheal intubation in the pediatric intensive care unit between 2013 and 2014 were included in this prospective study. They were monitored daily and COMFORT-B scores were obtained. Flexible fiber...

Subglottic Eosinophilic Angiocentric Fibrosis (EAF) is an extremely rare disease of an elusive aetiology. It is chronically progressive benign condition that causes narrowing of the subglottic region leading to dysphonia and airway compromise. The diagnosis is historical and imaging is nonspecific. We report a case xc of 56-year-old lady referred to our institution with globus sensation, hoarse...

Objectives. Balloon dilation laryngoplasty has been suggested as an alternative treatment to open surgical treatment of acquired subglottic stenosis in children. We describe long-term outcomes of balloon dilation for acquired subglottic stenosis in children. Methods. The medical charts of children who had balloon dilation for subglottic stenosis secondary to intubation were reviewed. Data inclu...

Subglottic stenosis is a known complication of a traumatic and prolonged intubation. In a child, subglottic area is narrower and more prone to damage by an oversized or overinflated endotracheal tube. The stenosis can present with complaints of change in voice, croup, or respiratory obstruction. Those presenting with respiratory obstruction require immediate diagnosis under direct laryngoscopy ...

We would like to congratulate Gentile and Siobal on their review article concerning the recent advances in equipment for the treatment of ventilator-associated pneumonia,1 in which they reported different techniques to clear the subglottic secretions that accumulate during intubation. At the time of extubation, they described applying a positive pressure gradient just prior to cuff deflation. T...

BACKGROUND Potential benefits of subglottic secretion suction for preventing ventilator-associated pneumonia (VAP) are not fully understood. METHODS We searched Cochrane Central, PubMed, and EMBASE up to March 2016 to identify randomized controlled trials (RCTs) that compared subglottic secretion suction versus non-subglottic secretion suction in adults with mechanical ventilation. Meta-analy...