Cases Of Laryngeal Stenosis Research Articles

Analysis of related factors of postoperative complications of Juvenile-onset recurrent respiratory papillomatosis

Objective:To analyze the causes and related factors of postoperative complications of Juvenile-onset recurrent respiratory papillomatosis（JORRP）. Methods:One hundred and seventy cases of JORRP who underwent surgical treatment in Beijing Tongren Hospital of Capital Medical University from 2017 to 2019 were followed up, and the types of complications, age of first operation, number and frequency of operations, and underwent tracheotomy or not were reviewed. According to the presence or absence of postoperative complications, the patients were divided into a complication group and a control group, and the differences between the two groups and related factors causing postoperative complications were compared. Results:In the 170 cases, 75（44.12%） had postoperative complications, including 52（69.33%） cases of vocal cord adhesion, 37（49.33%） cases of lower airway diffusion, and 25（33.33%） cases of laryngeal stenosis in the complication group. The age of first operation was among 0.3-14 years old, and the total number of surgeries was 14.52（1-54） for each patient during the observation period, with an average annual number of 2.93（0.04-18.39）. Compared with the control group, the complication group had 19.07±13.12 total surgeries, the control group had 10.97±9.41 surgeries（P<0.01）, annual surgeries ≥4 times（P=0.034）, postoperative complications after tracheotomy（P=0.007）, and underwent low temperature plasma radiofrequency ablation and photodynamic therapy were more likely to occur than those treated with CO2laser only（P<0.01）. Conclusion:The postoperative complications of JORRP include vocal cord adhesion, laryngotracheal stenosis, lower airway dissemination, etc. Multiple and frequent operations, tracheotomy, and different surgical methods are closely related to postoperative complications. The risk of postoperative complications may be increased when children are younger in age of initial operation and with more frequency of surgeries.

Laryngeal Stenosis from Trapped Overflowed Head Scarf in the Wheel of a Moving Motor Cycle: A Case Report

Introduction: Laryngeal stenosis is partial or circumferential narrowing of the endolaryngeal airway from congenital or acquired causes. It can present with life threatening upper airway obstruction, and the goal of treatment is restoration of good quality voice, respiration and laryngeal competence. We report a case of laryngeal stenosis following strangulation by a trapped overflowed head scarf, whilst being transported on a motor cycle and highlighted the treatment challenges. Methodology: A case of laryngeal stenosis studied, clinical findings, investigation results and treatment analysed. Results: A 70-year-old Nigerian elderly woman presented with three weeks’ history of hoarseness and progressive difficulty in breathing, following pulling of her long head scarf into the back wheel of the motor cycle taking her home. She had immediate loss of consciousness, which lasted for about 60 minutes. There was associated bout of cough while eating. Examination revealed life threatening upper airway obstruction. X-ray soft tissue neck showed soft tissue mass obliterating larygotracheal air column. Flexible nasopharyngolaryngoscopy showed grossly distorted laryngeal inlet with invisible vocal cords. CT scan of the larynx showed multiple and displaced fractures of the laryngeal cartilages. Microlaryngoscopy findings were pin-hole laryngeal lumen with firm collapsed mucosa. Emergency tracheostomy was done to relieve the upper airway obstruction. Attempts were made to excise the collapse mucosa and insert a stent proved difficult. Referral for endoscopic laser excision was caution because of the potential risk of aspiration. She was counselled and coping well with the tracheostomy.

Laryngeal stenosis in a patient with severe congenital neutropenia

We report the first case of laryngeal stenosis with granuloma in a patient with severe congenital neutropenia (SCN). Case report and retrospective review. Review of medical records. A 6-year-old female who was diagnosed with SCN presented with a cough and wheezing. An endoscopic study revealed laryngeal stenosis with granuloma. Tracheotomy and direct laryngoscopy were performed under general anesthesia, and administration of granulocyte colony-stimulating factor was started. The laryngeal granuloma disappeared 3 weeks later, and the tracheal stoma was closed. Presence of a laryngeal lesion should be considered in SCN patients with persistent airway symptoms.

A Case of Laryngeal Stenosis with Decannulation Problem Successfully Treated by Permanent Tracheal Fistula Technique

A 53 year-old female who had undergone subtotal thyroidectomy for Basedow's disease developed dyspnea postoperatively and tracheotomy was performed. The cause of dyspnea was found to be laryngeal stenosis due to left recurrent nerve paralysis associated with postoperative vocal cord edema. Dyspnea persisted even after the subsidence of edema and decannulation was unsuccessful. A surgical widening of the glottis was not attempted for avoiding possible postoperative dysphonia and misdegultition, but a permanent tracheal fistula technique was applied for decannulation. The tracheal mucosa was sutured to the skin around the tracheostoma after revising the stoma. Decannulation was successful and the postoperative course has been uneventful for 1 year except for occasional misdegultition.

Die Rekonstruktion der vorderen Commissur des Larynx

In 11 cases of laryngeal stenosis of the anterior commissure we used free oral-mucous grafts in the larynx for glottic reconstruction. 4 cases are reported in detail.

Tucker Retrograde Esophageal Dilatation 1924–1974

Emphasis has been placed on a historical review of corrosive ingestion in the last 175 years with particular reference to etiology, diagnostic technique, therapy and sociologic factors. A complete reversal of the medical approach, i.e., from therapy of cicatricial stenosis to prevention of the formation of esophageal stenosis, has occurred. The reasons for and methods of this change have been presented. Tucker retrograde bougienage as a valued technique in the therapy of severe esophageal obstruction has withstood the “test of time.” Its minimal application has to date included many thousands of patients. Current figures from the manufacturer indicate a steady distribution rate of 10 sets/month. Its indication and application has broadened from caustic ingestion to include congenital, acquired, severe esophageal, hypopharyngeal and even cases of laryngeal stenosis. The necessity for the use of Tucker retrograde bougienage has, thankfully, greatly diminished.

Tucker Retrograde Esophageal Dilatation 1924–1974

Emphasis has been placed on a historical review of corrosive ingestion in the last 175 years with particular reference to etiology, diagnostic technique, therapy and sociologic factors. A complete reversal of the medical approach, i.e., from therapy of cicatricial stenosis to prevention of the formation of esophageal stenosis, has occurred. The reasons for and methods of this change have been presented. Tucker retrograde bougienage as a valued technique in the therapy of severe esophageal obstruction has withstood the “test of time.” Its minimal application has to date included many thousands of patients. Current figures from the manufacturer indicate a steady distribution rate of 10 sets/month. Its indication and application has broadened from caustic ingestion to include congenital, acquired, severe esophageal, hypopharyngeal and even cases of laryngeal stenosis. The necessity for the use of Tucker retrograde bougienage has, thankfully, greatly diminished.

Case of Laryngeal Stenosis, following a Bayonet Wound, Treated by Intubation

Case of Laryngeal Stenosis, following a Bayonet Wound, Treated by Intubation

Case of Laryngeal Stenosis following a Bayonet Wound Treated by Intubation

Case of Laryngeal Stenosis following a Bayonet Wound Treated by Intubation