The Experts below are selected from a list of 1047 Experts worldwide ranked by ideXlab platform
R A De La Cortina - One of the best experts on this subject based on the ideXlab platform.
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Lateral thyrotomy approach on the paraglottic space for Laryngocele resection.
The Laryngoscope, 2000Co-Authors: R Thomé, D C Thomé, R A De La CortinaAbstract:To report on the results of using a lateral thyrotomy approach on the paraglottic space to gain greater access for Laryngocele resection under direct vision. A 26-year prospective and retrospective study. The study was conducted on 10 adult patients (5 men and 5 women) who had Laryngocele of varying size on the paraglottic space. Six of the patients had internal Laryngocele and four had exteriorized Laryngocele. Five Laryngoceles were left-sided, three were right-sided, and two were bilateral. A V-shaped, full-thickness thyroid lamina resection with the triangle base at the superior border and the apex at a point midway of the thyroid lamina vertical extent was performed. A V-shaped lateral thyrotomy made exposure to the paraglottic space possible for direct submucosal Laryngocele dissection. This approach has presented no complications to date. Postoperative minor edema or hematoma was found in the aryepiglottic and ventricular folds, but this disappeared within a few days. There was no recurrence; the minimum follow-up was 1 year. The triangular lateral thyrotomy approach provided access to the paraglottic space and superb visibility for resection of Laryngocele of any size under direct vision, thus avoiding recurrence, morbidity, and complications.
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Lateral Thyrotomy Approach on the Paraglottic Space for Laryngocele Resection
The Laryngoscope, 2000Co-Authors: R Thomé, D C Thomé, R A De La CortinaAbstract:Objective To report on the results of using a lateral thyrotomy approach on the paraglottic space to gain greater access for Laryngocele resection under direct vision. Study Design A 26-year prospective and retrospective study. The study was conducted on 10 adult patients (5 men and 5 women) who had Laryngocele of varying size on the paraglottic space. Six of the patients had internal Laryngocele and four had exteriorized Laryngocele. Five Laryngoceles were left-sided, three were right-sided, and two were bilateral. Methods A V-shaped, full-thickness thyroid lamina resection with the triangle base at the superior border and the apex at a point midway of the thyroid lamina vertical extent was performed. Results A V-shaped lateral thyrotomy made exposure to the paraglottic space possible for direct submucosal Laryngocele dissection. This approach has presented no complications to date. Postoperative minor edema or hematoma was found in the aryepiglottic and ventricular folds, but this disappeared within a few days. There was no recurrence; the minimum follow-up was 1 year. Conclusion The triangular lateral thyrotomy approach provided access to the paraglottic space and superb visibility for resection of Laryngocele of any size under direct vision, thus avoiding recurrence, morbidity, and complications.
Leon Barnes - One of the best experts on this subject based on the ideXlab platform.
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The association of Laryngoceles with squamous cell carcinoma of the larynx.
The Laryngoscope, 1991Co-Authors: Scott E. Celin, Jonas T. Johnson, Hugh D. Curtin, Leon BarnesAbstract:The clinical diagnosis of Laryngoceles simultaneously occurring with squamous cell carcinoma of the larynx is infrequent; however, when specimens from patients with laryngeal cancer have been examined closely, the two entities have been associated in 4.9% to 28.8% of cases. Despite this apparent relationship, the literature has failed to address the potential impact of a concurrent Laryngocele on surgical decision making. Also, the wide variation in the reported rates of simultaneous occurrence of these two entities is unexplained. We performed whole-organ histopathologic analysis on a laryngeal specimen with bilateral external Laryngoceles associated with squamous cell carcinoma and correlated this to computed tomography findings. Based on this information and other reports concerning the pattern of spread of carcinoma within Laryngoceles, it appears that supraglottic laryngectomy is oncologically sound in the presence of a Laryngocele as long as the usual criteria for this procedure are met.
Donald W. Anderson - One of the best experts on this subject based on the ideXlab platform.
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Upper airway obstruction due to a change in altitude: first report in fifty years
Journal of Otolaryngology - Head & Neck Surgery, 2016Co-Authors: Oleksandr Butskiy, Donald W. AndersonAbstract:Background Air travel mostly causes minor ear, nose and throat complaints. We describe a second report in literature of airway obstruction caused by a drop in atmospheric pressure during a routine commercial flight. Case presentation A 54-year-old male was referred to a head and neck surgeon with a 2 cm left submandibular mass that would enlarge during commercial flights. As the plane gained elevation, the mass would grow and cause him to become stridorous and short of breath. The shortness of breath and stridor would only resolve upon landing of the plane. A CT scan showed a large air sac extending from the larynx at the level of the true vocal cords up to the angle of the mandible. Based on the history and the CT findings a diagnosis of a Laryngocele was made. The Laryngocele was excised using an external approach, resolving the patient’s difficulty with flying. Conclusion This article reports a rare case of upper airway obstruction caused by atmospheric pressure changes during air travel. The reported case is of significance as only a few uncomplicated Laryngoceles have been reported to cause airway distress in the literature. This report highlights the epidemiology, presentation, complication and management of Laryngoceles.
R Thomé - One of the best experts on this subject based on the ideXlab platform.
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Lateral thyrotomy approach on the paraglottic space for Laryngocele resection.
The Laryngoscope, 2000Co-Authors: R Thomé, D C Thomé, R A De La CortinaAbstract:To report on the results of using a lateral thyrotomy approach on the paraglottic space to gain greater access for Laryngocele resection under direct vision. A 26-year prospective and retrospective study. The study was conducted on 10 adult patients (5 men and 5 women) who had Laryngocele of varying size on the paraglottic space. Six of the patients had internal Laryngocele and four had exteriorized Laryngocele. Five Laryngoceles were left-sided, three were right-sided, and two were bilateral. A V-shaped, full-thickness thyroid lamina resection with the triangle base at the superior border and the apex at a point midway of the thyroid lamina vertical extent was performed. A V-shaped lateral thyrotomy made exposure to the paraglottic space possible for direct submucosal Laryngocele dissection. This approach has presented no complications to date. Postoperative minor edema or hematoma was found in the aryepiglottic and ventricular folds, but this disappeared within a few days. There was no recurrence; the minimum follow-up was 1 year. The triangular lateral thyrotomy approach provided access to the paraglottic space and superb visibility for resection of Laryngocele of any size under direct vision, thus avoiding recurrence, morbidity, and complications.
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Lateral Thyrotomy Approach on the Paraglottic Space for Laryngocele Resection
The Laryngoscope, 2000Co-Authors: R Thomé, D C Thomé, R A De La CortinaAbstract:Objective To report on the results of using a lateral thyrotomy approach on the paraglottic space to gain greater access for Laryngocele resection under direct vision. Study Design A 26-year prospective and retrospective study. The study was conducted on 10 adult patients (5 men and 5 women) who had Laryngocele of varying size on the paraglottic space. Six of the patients had internal Laryngocele and four had exteriorized Laryngocele. Five Laryngoceles were left-sided, three were right-sided, and two were bilateral. Methods A V-shaped, full-thickness thyroid lamina resection with the triangle base at the superior border and the apex at a point midway of the thyroid lamina vertical extent was performed. Results A V-shaped lateral thyrotomy made exposure to the paraglottic space possible for direct submucosal Laryngocele dissection. This approach has presented no complications to date. Postoperative minor edema or hematoma was found in the aryepiglottic and ventricular folds, but this disappeared within a few days. There was no recurrence; the minimum follow-up was 1 year. Conclusion The triangular lateral thyrotomy approach provided access to the paraglottic space and superb visibility for resection of Laryngocele of any size under direct vision, thus avoiding recurrence, morbidity, and complications.
David Howard - One of the best experts on this subject based on the ideXlab platform.
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Laryngocele: a rare complication of surgical tracheostomy
BMC Surgery, 2006Co-Authors: Tahwinder Upile, David Howard, Waseem Jerjes, Fabian Sipaul, Mohammed El Maaytah, Sandeep Singh, Colin Hopper, Anthony WrightAbstract:Background A Laryngocele is usually a cystic dilatation of the laryngeal saccule. The etiology behind its occurrence is still unclear, but congenital and acquired factors have been implicated in its development. Case presentation We present a rare case of Laryngocele occurring in a 77-year-old Caucasian woman. The patient presented with one month history of altered voice, no other associated symptoms were reported. The medical history of the patient included respiratory failure secondary to childhood polio at the age of ten; the airway management included a surgical tracheostomy. Flexible naso-laryngoscopy revealed a soft mass arising from the posterior pharyngeal wall obscuring the view of the posterior commissure and vocal folds. The shape of the mass altered with respiration and on performing valsalva maneuver. A plain lateral neck radiograph revealed a large air filled sac originating from the laryngeal cartilages and extending along the posterior pharyngeal wall. The patient was then treated by endoscopic laser marsupialization and reviewed annually. We discuss the complications of tracheostomy and the pathophysiology of Laryngoceles and in particular the likely aetiological factors in this case. Conclusion A Laryngocele presenting in a female patient with tracheostomy is extremely rare and has not been to date reported in the world literature. A local mechanical condition may be the determinant factor in the pathogenesis of the disease.
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Endoscopic CO2 laser management of Laryngocele.
The Laryngoscope, 2002Co-Authors: Pablo Martinez Devesa, Simon Lloyd, Khalid Ghufoor, David HowardAbstract:OBJECTIVE: To report on the management of Laryngoceles by CO2 laser-assisted endoscopic excision. STUDY DESIGN: A 15-year retrospective study of 12 adult patients (7 men and 5 women) who presented with a Laryngocele. Nine patients had an internal Laryngocele, one patient had an external Laryngocele, and two patients had combined internal-external components. Two Laryngoceles were right-sided, six were left-sided, and four were bilateral. METHODS: An endoscopic examination of the Laryngocele was carried out for both diagnostic and therapeutic purposes. Once identified the air- or mucus-filled cyst (extending from the laryngeal ventricle into the paraglottic space and beyond the thyrohyoid membrane in some cases), the Laryngocele was excised in toto, with its surrounding capsule, via endoscopic approach using the CO2 laser. RESULTS: The main presenting symptom was dysphonia in seven patients, visible or palpable mass in the neck in three, and upper airway obstruction in the remaining two. All Laryngoceles were treated with endoscopic laser excision of the internal and external components when required. The average postoperative stay in hospital was 1.8 days. Only two of the patients treated had a tracheotomy; both cases presented elsewhere with an emergency airway obstruction, which necessitated tracheotomy. In these two cases, decannulation was subsequently performed. There were no significant complications. The follow-up ranged from 6 months to 5 years. CONCLUSION: CO2 laser-assisted endoscopic excision of a Laryngocele is a quick, precise, and safe alternative to an external approach excision (lateral thyroidotomy, laryngofissure) with fewer complications than its external counterparts, resulting in speedier rehabilitation of both the patient and his or her voice.
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Endoscopic CO2 laser management of Laryngocele.
The Laryngoscope, 2002Co-Authors: Pablo Martinez Devesa, Simon Lloyd, Khalid Ghufoor, David HowardAbstract:To report on the management of Laryngoceles by CO2 laser-assisted endoscopic excision. A 15-year retrospective study of 12 adult patients (7 men and 5 women) who presented with a Laryngocele. Nine patients had an internal Laryngocele, one patient had an external Laryngocele, and two patients had combined internal-external components. Two Laryngoceles were right-sided, six were left-sided, and four were bilateral. An endoscopic examination of the Laryngocele was carried out for both diagnostic and therapeutic purposes. Once identified the air- or mucus-filled cyst (extending from the laryngeal ventricle into the paraglottic space and beyond the thyrohyoid membrane in some cases), the Laryngocele was excised in toto, with its surrounding capsule, via endoscopic approach using the CO2 laser. The main presenting symptom was dysphonia in seven patients, visible or palpable mass in the neck in three, and upper airway obstruction in the remaining two. All Laryngoceles were treated with endoscopic laser excision of the internal and external components when required. The average postoperative stay in hospital was 1.8 days. Only two of the patients treated had a tracheotomy; both cases presented elsewhere with an emergency airway obstruction, which necessitated tracheotomy. In these two cases, decannulation was subsequently performed. There were no significant complications. The follow-up ranged from 6 months to 5 years. CO2 laser-assisted endoscopic excision of a Laryngocele is a quick, precise, and safe alternative to an external approach excision (lateral thyroidotomy, laryngofissure) with fewer complications than its external counterparts, resulting in speedier rehabilitation of both the patient and his or her voice.
