Abstract
Severe damage to the vocal folds and upper airways after translaryngeal endotracheal intubation occurs with greater frequency and to a greater extent than is usually surmised. Videolaryngoscopic techniques have led to prompt recognition of endolaryngeal/endotracheal lesions in the critical care setting. Traditionally, surgeons have treated obstructive sequelae such as glottic, subglottic, and tracheal stenosis by major transcervical and/or transthoracic resective and reconstructive surgery. Endolaryngeal core molds and endotracheal stents have conventionally been inserted by open surgical techniques. As a prototypic case illustrates, evolutional methods of endoscopic placement of prosthetic molds and stents combined with endoscopic optical/suction instrumentation and laser photoresection allow the physician to restore upper airway patency and phonatory vocal fold function without resorting to major surgery. Delta scan topograms provide radiographic imaging of the major airways. Severe damage to the vocal folds and upper airways after translaryngeal endotracheal intubation occurs with greater frequency and to a greater extent than is usually surmised. Videolaryngoscopic techniques have led to prompt recognition of endolaryngeal/endotracheal lesions in the critical care setting. Traditionally, surgeons have treated obstructive sequelae such as glottic, subglottic, and tracheal stenosis by major transcervical and/or transthoracic resective and reconstructive surgery. Endolaryngeal core molds and endotracheal stents have conventionally been inserted by open surgical techniques. As a prototypic case illustrates, evolutional methods of endoscopic placement of prosthetic molds and stents combined with endoscopic optical/suction instrumentation and laser photoresection allow the physician to restore upper airway patency and phonatory vocal fold function without resorting to major surgery. Delta scan topograms provide radiographic imaging of the major airways.
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