Chapter 8 - Laryngeal stenosis and other surgeries :: Channels :: European e-manual for laryngeal surgery

Laryngeal stenosis and other surgeries.

Different types of the laryngeal procedures due the stenosis
Rare laryngeal tumors
Tracheostomy
Other surgeries

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Montgomery T tube replacement

In this video we show the replacement of a Montgomery T tube in a patient with a tracheal stenosis. We remove the old tube, and we intubate the patient. We place a laryngoscope, and we explore the subglottis and trachea with an endoscope. We then ask the anesthesiologist to leave the patient in apnea and we remove the endotracheal tube and place the new Montgomery T tube. Next, we place a...

uab
- 04:06 duration
- 427 views
- 0 comments
Posterior glottic stenosis (Bogdasarian type I)

In this video we show a surgery for a posterior glottic stenosis (Bogdasarian type I). During the surgery, the scarred area is located (a fusion between the vocal processes of the arytenoids), and it is cut with scissors. Subsequently, steroids are injected throughout the region. The result was excellent, recovering normal motility and normal laryngeal function.

uab
- 02:39 duration
- 186 views
- 0 comments
Tracheostomy closure

In this video we will show a classic technique for sealing an old tracheostoma that did not close spontaneously. It is usually a surgery performed under local anesthesia with or without sedation. It is generally divided into three layers: the skin around the tracheostomy, which will be the innermost layer, a layer of fat-fascia-muscle covering the previous suture, and finally, the...

uab
- 06:03 duration
- 182 views
- 0 comments
Dilation of an idiopathic subglottic stenosis

In this video we are showing a dilation of an idiopathic subglottic stenosis in a 80 years-old woman. We start using a laryngoscope, to first inject corticosteroids into the stenosis. After that, we cut the scar with cold steel and we then proceed with the balloon dilation, with a 15mm balloon. To do the balloon dilation we leave the patient in apnea and we remove the endotracheal tube. After...

uab
- 03:37 duration
- 182 views
- 0 comments
Wharton Duct Clipping for drooling

In this video we show a procedure to improve one of the common dysphagia problems, which is drooling. We performed a ligation with clips of the Wharton’s duct (we show one side, but it is done bilaterally). The papilla is located, an incision is made in the floor of the mouth, the Wharton’s duct is identified, and confirmed with sialoendoscopy material by placing the guide inside...

uab
- 01:03 duration
- 238 views
- 0 comments
Tracheostomy under local anesthesia

In this video we show a tracheostomy performed under local anesthesia in a patient with supraglottic cancer. This procedure was done as the first step before proceeding with a supraglottic laryngectomy with CO2 laser and bilateral neck dissection.

uab
- 13:19 duration
- 190 views
- 0 comments
Tracheal resection with a termino-terminal anastomosis

In this video we will show a tracheal resection with a termino-terminal anastomosis in a patient with a chondroma/ low grade chondrosarcoma of the trachea. After the skin incision, we dissect by planes, and we separate the strap muscles in the midline, in order to reach the trachea. To be able to have a full exposure, we cut the thyroid isthmus to move the thyroid lobes laterally. Once the...

uab
- 18:13 duration
- 162 views
- 0 comments
Dilation of a subglottic stenosis in a patient with tracheostomy

In this video we are showing a dilation of a subglottic stenosis in a patient with tracheostomy. In this case, it was a membranous stenosis that we treated with balloon dilation after we cut with cold steel the stenosis. We repeated 3 dilations of 1 minute each, and we ended the procedure injecting corticosteroids into the stenotic area.

uab
- 03:08 duration
- 227 views
- 0 comments
Cyst of the vallecula

Cyst of the vallecula can be removed using cold still or CO2 laser. In this case, both of these tools were used. First, the epithelium of the vestibular fold was incised using CO2 laser, exposing the cyst capsule, and then, using cold still, the cyst step by step was dissected. During the dissection of the cyst, it ruptured, but the capsule was preserved, which allowed the lesion to...

pums
- 16:48 duration
- 149 views
- 0 comments
Bilateral cordotomy

In this video we show a laryngeal microsurgery where we performed bilateral cordotomy in a patient with bilateral vocal fold paralysis with significant dyspnea. We cut with laser both vocal folds on their posterior third and we immediately see how the airway gets significantly wider posteriorly, which will help the patient with the breathing problems.

uab
- 03:13 duration
- 172 views
- 0 comments
Mucosal bridge in the right vocal fold

In this laryngeal microsurgery, a typical mucosal bridge is shown in a 23-year-old patient with chronic dysphonia. In this case the bridge is located and resected. In this patient, during the same surgery, lipofilling was performed on the vocal fold afterwards (not shown in the video).

uab
- 00:32 duration
- 129 views
- 0 comments
Resection of eventration of mucosa of the ventricle

In this video we show a case of a patient with eventration of the mucosa of the ventricle, where we performed a laser resection.

uab
- 03:43 duration
- 85 views
- 0 comments
Plasmacytoma resection

In this video, we will show the resection of a plasmacytoma of the pre-epiglottic space. We start by detaching the infrahyoid muscles from the hyoid bone. We expose the cranial edge of the thyroid cartilage, and we continue to dissect above it until we find the mass. We carefully remove the mass with bipolar cautery and blunt dissection. We had to remove a part of the thyroid cartilage to have...

uab
- 07:10 duration
- 178 views
- 0 comments
Bogdasarian type I posterior glottic stenosis surgery

In this video we will show a patient with a Bogdasarian type I posterior glottic stenosis (interarytenoid scar with normal posterior commissure). We performed a microlaryngoscopy surgery with cold steal, cutting the scar tissue and injecting steroids afterwards.

uab
- 04:19 duration
- 118 views
- 0 comments
Posterior cordotomy due to glottic stenosis

64-year old, female, bilateral vocal cord paralysis, posterior cordotomy (Kashima) with laser

ude
- 01:24 duration
- 118 views
- 0 comments
Posterior cordotomy

26-year old female, synechiae of the posterior commissure after long-term intubation, bilateral posterior cordotomy with laser (pre- vs. postoperative pictures here)

ude
- 01:15 duration
- 74 views
- 0 comments
Resection of a chondroma of the thyroid cartilage

In this video we show how to resect a chondroma of the thyroid cartilage. The larynx and the thyroid cartilage are exposed. The constrictor muscle is sectioned. The cartilage is rotated and exposed to see the tumor on the external side. The cartilage is sectioned with a saw anterior to where the tumor is located. The tumor is separated from the piriform sinus and the paraglottic space. The...

uab
- 03:14 duration
- 89 views
- 0 comments
External cordectomy approach

In this video we show the approach for an external cordectomy in a patient with glottic cancer. We start by exposing the thyroid cartilage, and we then proceed to cut it from the notch to the inferior border in a straight line in the midline using a saw. We are then able to visualize the glottis and the tumor from anterior to posterior.

uab
- 01:02 duration
- 138 views
- 0 comments

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Chapter 8 - Laryngeal stenosis and other surgeries

Media

Montgomery T tube replacement

Posterior glottic stenosis (Bogdasarian type I)

Tracheostomy closure

Dilation of an idiopathic subglottic stenosis

Wharton Duct Clipping for drooling

Tracheostomy under local anesthesia

Tracheal resection with a termino-terminal anastomosis

Dilation of a subglottic stenosis in a patient with tracheostomy

Cyst of the vallecula

Bilateral cordotomy

Mucosal bridge in the right vocal fold

Resection of eventration of mucosa of the ventricle

Plasmacytoma resection

Bogdasarian type I posterior glottic stenosis surgery

Posterior cordotomy due to glottic stenosis

Posterior cordotomy

Resection of a chondroma of the thyroid cartilage

External cordectomy approach

Channels

Livestreams

Categories

Tags

Channels Chapter 8 - Laryngeal stenosis and other surgeries

Chapter 8 - Laryngeal stenosis and other surgeries

Media

Montgomery T tube replacement

Posterior glottic stenosis (Bogdasarian type I)

Tracheostomy closure

Dilation of an idiopathic subglottic stenosis

Wharton Duct Clipping for drooling

Tracheostomy under local anesthesia

Tracheal resection with a termino-terminal anastomosis

Dilation of a subglottic stenosis in a patient with tracheostomy

Cyst of the vallecula

Bilateral cordotomy

Mucosal bridge in the right vocal fold

Resection of eventration of mucosa of the ventricle

Plasmacytoma resection

Bogdasarian type I posterior glottic stenosis surgery

Posterior cordotomy due to glottic stenosis

Posterior cordotomy

Resection of a chondroma of the thyroid cartilage

External cordectomy approach