Abstract
To characterize physical and inflammatory injury that may result from repeated intubation, independent of positive-pressure ventilation; and to determine whether corticosteroids can attenuate injury and or inflammation that may result from repeated intubation.
A 4-hr...
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PMID: 20375754
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Abstract
I in 24 patients, II in 43, III in 109, and IV in 1 patient. Eight patients had a major pathologic response after induction therapy. On univariate analysis, variables significantly associated with positive CRL nodes included squamous cell histology, proximal location, advanced clinical presentation,...
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PMID: 21095315
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Abstract
Song production in songbirds is a model system for studying learned vocal behavior. As in humans, bird phonation involves three main motor systems (respiration, vocal organ and vocal tract). The avian respiratory mechanism uses pressure regulation in air sacs to ventilate a rigid lung. In songbirds...
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PMID: 20153887
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Abstract
Measuring subglottic airway diameter with ultrasonography facilitates the selection of appropriately sized ETTs in pediatric patients. This selection method better predicted optimal outer ETT diameter than standard age- and height-based formulas....
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PMID: 20808208
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Abstract
We compare the success of different surgical options in the treatment of laryngeal webs.
We performed a retrospective study spanning the years 1980 to 2005.
Eighteen patients were identified. The average age at diagnosis was 6 months (range, 1 day to 2.5 years). The presenting symptoms included weak...
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PMID: 21049857
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Abstract
We report the effects of cooling on air and tissue temperatures that occurred during simulated laryngeal laser surgery with KTP and thulium lasers in an ex vivo calf model.
Ten fresh excised calf larynges were studied at room temperature. Laser energy was applied to one vocal fold for 2 minutes, wit...
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PMID: 21049854
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Abstract
Displacement and rotational data showed that rocking motion occurs throughout arytenoid abduction and most of the rotational component is attributable to pitch; greater pitch was associated with action of the lateral belly. Roll of the ventral arytenoid plane was principally associated with action o...
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PMID: 20807138
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Abstract
We assessed the safety and efficacy of balloon dilation as treatment for recurrent stenosis after pediatric laryngotracheoplasty.
We studied a retrospective case series at an academic tertiary care children's hospital. We included all patients under the age of 18 years with subglottic or tracheal st...
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PMID: 21033030
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Abstract
Remifentanil provided faster recovery and hemodynamic stability. Therefore, remifentanil seems to be more suitable than fentanyl in anesthesia for laryngomicrosurgery....
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PMID: 20715524
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Abstract
We report an unusual case of a recurrent laryngeal vascular leiomyoma in a 64-year-old woman who also had a concurrent parathyroid adenoma and a history of breast carcinoma. A surgical resection via an external approach along with laser resection of a small glottic component was needed....
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PMID: 20737377
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Abstract
We describe the case of a 63-year-old man complaining of dysphagia and intermittent hoarseness. Initial laryngoscopy showed a tumour at the laryngeal epiglottic surface. Staging demonstrated an atypical carcinoid tumour with local lymph-node metastasis. At 24 months following revision surgery with s...
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PMID: 20480128
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Abstract
We present the cases of two breast cancer patients who developed filiae into the petrous portion of the temporal bone and one very rare case of metastasis to the larynx. Diagnosis, therapy and distinctive features of metastasis to the head and neck region are discussed.Secondary to long-term endocri...
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PMID: 20596682
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Abstract
The number of patients aged > or =65 who visited our clinic in the 7-year study period was 361, and 72 (20%) were diagnosed with vocal fold atrophy. They included 47 (65%) men and 25 (35%) women, with a mean age of 71 years (range, 65-89). Among these patients, 27 (38%) were still employed at the ti...
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PMID: 20036792
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Abstract
To investigate the surgical technique which could preserve the swallowing and laryngeal function effectively in the malignant head and neck tumors involving the tongue root.
From January 2003 to December 2008, 31 cases of malignant head and neck tumors involving the tongue base had been treated in t...
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PMID: 21055059
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Abstract
We conducted a retrospective study to measure laryngeal descent in human infants and to determine if there is any correlation between the associated anatomic changes and the timing of the peak incidence of sudden infant death syndrome (SIDS), which is 2 to 4 months of age. We performed a computerize...
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PMID: 20628990
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Abstract
We anticipated a difficult intubation and ventilation. Awake fiberoptic intubation was selected for anesthesia induction, and was easily performed using a Parker Flex-Tip tracheal tube (Parker Medical, Highland Ranch, Colorado, USA), after intravenous injection of 200 microg of fentanyl, 8% lidocain...
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PMID: 20560376
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Abstract
We detected myopathy by EMG in most of the patients. Also, EMG revealed that cricothyroid muscle was much more affected than thyroarytenoid muscle. In conclusion, we consider that steroid myopathy or mucosal inflammatory theory alone is not sufficient to explain the etiopathogenesis of dysphonia in...
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PMID: 19908054
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Abstract
After a 20 months follow-up, no local, regional recurrences or distant metastases were detected, and no functional complications are described for the patient. CONCLUSION: This case report highlights that endoscopic surgical treatment enables excellent organ and functional preservation. However, rec...
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PMID: 20383516
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Abstract
This is a case of failed intubation in a child of 15 months due to presence of laryngeal web. The airway was maintained by Cole Neonatal tube size 2 mm held at the available orifice of the glottis with maintenance of spontaneous respiration under general anesthesia till emergency tracheostomy was pe...
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PMID: 20803862
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Abstract
Seven patients (64%) had vestibular fold muscle fiber, all of whom showed motor unit recruitment in response to sound emission. No neurogenic muscle injuries were observed except in 1 patient with evidence of chronic injury. CONCLUSION: After cordectomy and laryngeal reconstruction, thyroarytenoid m...
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PMID: 20566914
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Abstract
High risk human papilloma virus DNA was detected in 25 per cent of patients (three of 12) with laryngeal cancer. Low risk human papilloma virus DNA was detected only in three laryngeal papilloma patients. The mean laryngeal secretion concentrations of immunoglobulins M, G and A and secretory immunog...
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PMID: 20370947
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Abstract
In all the 332 patients observed, surgical access was optimised and no adverse anaesthetic outcomes were encountered. CONCLUSION: Subglottic jet ventilation facilitates safe airway management during microlaryngeal and laser laryngeal surgery....
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PMID: 20053309
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Abstract
Based on these preliminary results, injection laryngoplasty improved the voice, and voice-related quality of life in patients with post-thyroidectomy VCP. It is a simple, safe, and useful method for rehabilitating post-thyroidectomy VCP patients....
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PMID: 20406108
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Abstract
An extensive toxicology programme on salmeterol hydroxynaphthoate (Serevent), a marketed long-acting beta(2)-adrenoceptor agonist, has been carried out. The studies evaluated both the local (respiratory tract) and systemic tolerance to single and repeated dosing, effects on all stages of reproductio...
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PMID: 20219844
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Abstract
Forty-five percent of cases (35/78) had fever. Of those febrile, 46% (n=16) had significant fever. Overall, 20.5% had significant fevers. Fifty-two cases were single-stage LTP (SSLTP) with 31 febrile and 26 cases were double-stage LTP (DSLTP) with 4 febrile. SSLTP cases were at a significantly great...
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PMID: 20207021
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Abstract
Fourteen of 20 patients were treated as an initial operation and 6 patients as an additional operation after other failed procedures. Decannulation was achieved in 8 (57.1%) of 14 children in the initial operation group and in 4 (66.7%) of 6 patients in the additional operation group. The average du...
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PMID: 20438941
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Abstract
Results reveal that pitch changes in yodelling are associated with decrease of electroglottograpgic (EGG) contact quotient for the upper pitch, indicating a register shift. Furthermore, in contrast to untrained voices, for the yodellers lower and upper pitches were more stable with respect to fundam...
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PMID: 20350070
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Abstract
We examined four fresh cadaver larynges with HRCT. The DICOM (Digital Imaging and Communication in Medicine) data were post-processed with the software package MIMICS for three-dimensional visualization. All relevant structures of the laryngeal cartilages could be identified on HRCT and visualized i...
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PMID: 20350072
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Abstract
A perceptible change in phonation characteristics after a swallow has long been considered evidence that food and/or drink material has entered the laryngeal vestibule and is on the surface of the vocal folds as they vibrate. The current paper investigates the acoustic characteristics of phonation w...
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PMID: 20370039
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Abstract
We examined four cadaver larynx and one patient larynx. In the five larynges, all relevant structures and landmarks could be 3D visualised. Superimposing of two HRCT scans shows that when the arytenoids move from 'respiration' to 'phonation', they perform a rotating, translating and tilting motion....
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PMID: 19862544
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Abstract
We found that (1) the reported incidence of type I PLCs is increasing; (2) type I PLCs can often present without clinical aspiration; (3) aspiration caused by type I PLCs can be managed medically or surgically; and (4) operative intervention is advantageous for patients who have severe symptoms or w...
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PMID: 20433023
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Abstract
We translated key studies of laryngeal anatomy from the 16th century to better understand this evolution. We present the Latin with our translations, and historical commentary as essential to this understanding. Vesalius favored the Latin scutiform (shield) for the thyroid cartilage, but recognized...
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PMID: 20069644
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Abstract
This report documents an unusual case of congenital foregut cyst with dysphagia and stridor in a Thoroughbred foal. Histologically, the bilocular cyst, near the junction of larynx and trachea, had an epithelial lining of bronchogenic and esophageal origin. Concomitant malformation of...
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PMID: 20110221
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Abstract
We report a case in which a patient's airway caught fire during use of an electrocautery device. The patient died as a result of the lesions sustained. We report the results of the investigation and the protocols for prevention and response implemented in our surgical department, in the hope that th...
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PMID: 20422850
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Abstract
cLMATM allowed us to carry out PDT in all patients. Short tracheal intubations resulted in mild lesions of the larynx and mild gas leaks during cLMATM ventilation. Longer intubations caused moderate-to-severe (P<0.05) lesions of the larynx and larger gas leaks. A single complication occurred in one...
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PMID: 20203545
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Abstract
Baseline demographic data were comparable between groups. Mean LMA intracuff pressure was less in the pressure-limiting group versus the routine care group (40 +/- 6 vs. 114 +/- 57 mmHg, P < 0.001). The incidence of composite pharyngolaryngeal complications was significantly lower in the pressure-li...
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PMID: 20179502
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Abstract
This case report highlights laryngeal trauma and stresses the importance of this type of trauma in the emergency room setting. This case report describes an 18-year-old girl who receives a trauma to the larynx and subsequently dies of an infarction of the cerebellum.
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PMID: 20146914
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Abstract
We performed a retrospective review of hospital records using a standardized protocol. Foreign body aspiration that occurred in children aged 0-14 were considered for inclusion in the database. During the study period, 78 patients with a diagnosis of FB were included in the database. Forty-five pati...
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PMID: 19549062
PDF is available here.
Abstract
The majority of assaulters in manual strangulation was young adult male and often could find the counteracted wounds on them. The throttling mark reaction usually could be found in victims and the cardinal symptoms were contusion in throat and asphyxiation in ocular region. CONCLUSION: The degree of...
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PMID: 20232742
PDF is available here.
Abstract
We evaluated the feasibility of standard ventilation with laser-safe endotracheal tubes (ETTs) and inspired O2 fraction (FiO2) = 0.21 during direct microlaryngoscopy. METHODS: During total intravenous anesthesia, standard mechanical normoventilation was set with FiO2 = 0.21 and 50 mm Hg peak inspira...
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PMID: 19536859
PDF is available here.
Abstract
For short duration surgeries, rocuronium 0.5 mg x kg(-1) was appropriate to perform safe tracheal intubation and minimize duration of action of rocuronium....
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PMID: 20169950
PDF is available here.
Abstract
Both intravenous general anaesthesia (IVGA) and general anaesthesia with endotracheal intubation (GA with ET) are applicable for the procedure of juvenile onset recurrent respiratory papillomatosis (JO-RRP). GA with ET was found to be better for JO-RRP patients with dyspnoea, as it provided better s...
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PMID: 19685355
PDF is available here.
Abstract
We present the case of a 16-year-old boy, who had what initially appeared to be a superficial stab wound to his neck. After further evaluation, he was found to have major injuries to his larynx and esophagus. This case underscores the importance of a careful evaluation after any penetrating neck inj...
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PMID: 20145502
PDF is available here.
Abstract
We present a patient with occupational lung disease whose chest CT showed miliary nodular pattern, with concurrent laryngeal cancer who had been engaged in type printing for 22 years. Histology of the laryngeal lession showed squamous cell laryngeal cancer. Histology of the nodules showed a foreign...
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PMID: 20184088
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Abstract
Our neuroimaging results show that the AD group had significantly lower Blood-Oxygen-Level-Dependent (BOLD) response in many cortical areas that are traditionally involved in normal swallowing (i.e., pre and postcentral gyri, Rolandic and frontal opercula). There were no regions where the AD group s...
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PMID: 20308785
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Abstract
We report a case of VACTERL complex which had concomitant horseshoe lung, laryngeal cleft, and hypertrophic pyloric stenosis, which has not been previously reported.
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PMID: 20964119
PDF is available here.
Abstract
Laryngeal foreign bodies are not uncommon. A common difficulty encountered is a delay in diagnosis. The clinical features of a laryngeal foreign body may simulate asthma in an adult. The differentiation is necessary in the initial stages as the laryngeal foreign body can lead to sudd...
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PMID: 21388083
PDF is available here.
Abstract
Percentage of glottic opening score of the LMA Fastrach group was 100 and that of the suspension laryngoscope group was 80 (P < 0.05). The LMA Fastrach insertion was performed without remarkable systolic or diastolic blood pressure or heart rate changes, but systolic, diastolic blood pressure or hea...
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PMID: 19707144
PDF is available here.
Abstract
We prospectively assessed the position of LMAs in relation to the glottic aperture in 350 children (zero to seven years) undergoing elective fibreoptic examination of the upper and/or lower airways. Following induction of anaesthesia and positioning of the LMA, a fibreoptic evaluation of the view of...
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PMID: 20191777
PDF is available here.
Abstract
We used a manikin model to compare time to intubation between the Macintosh blade, Pentax Airway Scope and the McGrath videolaryngoscope in a simulated urgent intubation by 23 experienced anaesthetists with no prior experience in the use of these videoscopes. We also measured the number of attempts...
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PMID: 20191775
PDF is available here.