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Results for “LARYNGOSTENOSIS”

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At least 37 records · Page 2Linked to original sources
PubMed1997

[Subglottic hemangioma as the cause of laryngostenosis in young children].

In 1985 to 1996 we observed and treated 22 children (19 girls and 3 boys) with subglottic hemangioma. The children had pronounced clinical symptoms of rough and scraping breathing. Skin hemangiomas were found in 73% of patients. The diagnosis was made using microlaryngoscopy. Laser destruction (11 children) and cryosurgery (9 children) provided cure in the majority of relevant patients.

Child, Preschool↗
PubMed2002

[Characteristics of psychoemotional sphere in children with chronic laryngeal obstruction].

45 children from 10 to 14 years of age with chronic laryngeal obstruction were examined psychologically. 29 of them had recurrent respiratory papillomatosis, 16 ones had cicatrical laryngostenosis. The majority of the examinees (65%) showed symptoms of posttraumatic stress syndrome (PTSS). The children develop PTSS one-two years after onset of laryngeal obstruction. Later, the children underwent persistent specific maladaptation personality disorders. Thus, children with recurrent laryngeal papillomatosis, especially with cicatrical laryngostenosis, should undergo psychological correction.

Adolescent↗
PubMed1983

Endo-extralaryngeal needle carrier instrument.

The author reports on an instrument which is suitable for stitching from inside to outside under laryngomicroscopic control without opening the larynx. The instrument, as well as the operation techniques based on the instrument, permit the simple treatment of vocal cord synechiae and of laryngostenosis consequent to bilateral paralysis of the recurrent laryngeal nerve.

Humans↗
PubMed1993

Partial trisomy for short arm of chromosome 5.

We present two unrelated cases of partial trisomy for the short arm of chromosome 5, the first such cases reported in Japan. The features are characterized by hypertelorism, low set ears, arachnodactyly, laryngostenosis, hypotonia and some cerebral malformation. The characteristic facial expression and arachnodactyly are the key features used to diagnose this disorder. A high-resolution chromosome banding technique showed that the karyotype of the first patient was 46,XX,inv dup(5) (p13.1-->p15.3) de novo and that of the second patient was 46,XX,dir dup(5) (p13.3-->p15.2) de novo. The similar symptoms in the two cases, despite the difference in karyotypes, were caused by duplication of 5p including segment 5p13. This would be a key site for this disorder.

Abnormalities, Multiple↗
PubMed2000

[Hydromassage of wound surface of surgically reconstructed laryngeal lumen and upper trachea].

In surgical reconstruction of laryngostenosis and stenosis of the upper trachea after dissection of the scars we place laryngotracheal prosthesis (LTP) in the created lumen for a year and longer. The LTP dilator prevents regrowing the scars into the larynx and trachea until termination of the wound epithelization. The author has designed a device which provides a pulsed change in the pressure of water-filled latex balloon-dilator of the LTP. This pulsed work is realized by 7-8-s sucking out water and filling again of 1/3 of water volume in the dilator. Such procedures lasting for 20-30 min conducted 2 times a day are called hydromassage of the larynx and trachea. In 7 patients subjected to hydromassage for a full time of wearing the LTP, epithelization of the wound surface of the reconstructed part of the airways occurred within 2-2.5 months. If hydromassage was performed for half the time of LTP wearing (12 patients) epithelization occurred within 3-3.5 months.

Equipment Design↗
PubMed2002

[Diagnosis and treatment of patients with acute postintubation and post-tracheostomy stenosis of the larynx and trachea].

The data on diagnosis and treatment of 200 patients with acute postintubation laryngostenosis (LS) and tracheostenosis (TS) are reviewed. Peculiarities of tracheostomy technique practiced in critical care units are specified. Postintubation and posttracheostomy alterations in the larynx and trachea detected endoscopically are described. Effective endosurgical methods are proposed to avoid multistage surgical rehabilitation for recovery of the respiration function in 97% LS and TS patients.

Acute Disease↗
PubMed2003

[Laser surgery of cicatricial laryngeal stenosis].

The authors consider possibility of using surgical lasers for treatment of cicatricial laryngostenosis (CL); present classification of stenoses depending on the causes and location; emphasize advantages of high-energy laser vs conventional methods (reduced blood loss, no need in previous tracheotomy or laryngofissure, minimal reactive changes, rapid epithelization); describe the procedure of laser radiation and its variants depending on tumor location in the larynx.

Adolescent↗
PubMed2006

[Therapeutic algorithm in stenosis of the larynx and cervical trachea of various etiology].

An algorithm of the treatment of laryngo- tracheal stenosis (LTS) is proposed to raise efficacy of surgical treatment of LTS and to reduce the number of postoperative complications. The algorithm comprises adequate preoperative preparation of the patients including pharmacological prophylaxis of inflammation in the operative zone; effective use of laryngotracheoplasty; prophylaxis of postoperative scarring including reconstruction of created laryngotracheal passage and administration of medicines influencing general and local immunity, tissue metabolism, repair in the region of postoperative inflammation. The efficacy of the algorithm was followed up un 54 (33.7%) patients with laryngostenosis and 106 (66.3%) patients with laryngo-tracheal stenosis. The algorithm application help rehabilitate all the patients with laryngeal stenosis and 92 (86.8%) patients with laryngo-tracheal stenosis.

Algorithms↗
PubMedDate not supplied

[Allergy and acute stenosing laryngotracheitis in children].

An allergological examination of 144 patients suffering from acute stenosing laryngotracheitis revealed food, drug, bacterial allergy of exudative diathesis in 62.5% of the cases. Allergic children had laryngostenosis of degree II and more advanced two times more frequently, whereas recurrences (12 cases) occurred primarily in children in premorbid condition. Allergy of shown to contribute to the onset of acute stenosing laryndotracheitis as allergic subjects are more susceptible to respiratory bacterial and viral infection. Local factors are mostly responsible for this. The author offers recommendations on more advanced treatment of acute stenosing laryngotracheitis with consideration of allergic aspects.

Acute Disease↗
PubMedDate not supplied

[Several aspects of treatment and prevention of chronic laryngeal stenosis].

The occurrence of scar laryngostenosis due to traumas and removal of laryngeal tumors is now on the increase. This negative trend may be corrected by rejection of long-term intubation, immediate conversion of crico-, conico- and thyrotomy into tracheostomy, employment of preventive laryngostomy in initial treatment of patients with serious trauma of the larynx. It should be taken into consideration that in restoration of respiration through natural airways bronchopulmonary complications, dysphonia, dysphagia, hair growth into the laryngeal lumen are possible.

Chronic Disease↗
PubMed2004

Severe congenital myopathy with Möbius, Robin, and Poland sequences: new aspects of the Carey-Fineman-Ziter syndrome.

We report a boy with severe congenital myopathy, Möbius-Poland sequence, Robin sequence, and severe developmental delay. We consider this patient to have Carey-Fineman-Ziter syndrome. Since this is only the seventh case reported, this case helps to define further the consistent manifestations of this recognizable phenotype. Additionally our patient shows laryngostenosis, intermittent episodes of high blood pressure and Poland sequence as important clinical symptoms.

Abnormalities, Multiple↗
PubMed1989

[Laryngeal microsurgical laterofixation of paralyzed vocal cords using a new suture instrument].

Author reports on clinical experiences of a method--tried earlier on laboratory animals--for treatment of laryngostenosis following bilateral paralysis of the recurrent nerve. In 2 cases, laterofixation of the paralysed vocal cord only was performed with the help of their endo-extralaryngeal needle carrier instrument. In another 19 cases, medial and lateral fibres of the thyroarytenoid muscle were submucosally removed, then the remaining vocal cord laterofixed with through-stitches in the posterior and middle third, with the help of the endo-extralaryngeal needle carrier. The laterofixing thread was tied over a bent silicon tube, put on the skin of the neck. Threads were removed 2-3 weeks after the operation. The lumen of the larynx was found to be adequate after the operations. One patient was lost on the first postoperative day because of acute heart failure, and hence this case was disregarded at the final evaluation. Postoperative decannulation was successful in all of the 20 evaluated cases. The operations were performed by a laryngomicrosurgical method, without opening the larynx or otherwise disturbing the laryngeal cartilage.

Adult↗
PubMed1993

Etiology of 19 infants with apparent life-threatening events: relationship between apnea and esophageal dysfunction.

There are various identifiable diseases or conditions that can cause apparent life-threatening events (ALTE; e.g. gastroesophageal reflux (GER) and seizures). Nineteen infants with ALTE (mean age: 4.3 months) were brought to our hospital between June 1986 and August 1991. The causes of these ALTE were investigated. Analysis of laboratory data, radiological studies and esophageal function tests led to the diagnosis of GER in six of 19 infants; pertussis in five; upper respiratory infection in three; vagotonia-like condition with esophageal dysfunction in two; laryngostenosis with cerebral palsy in two; choking on food or drink in two; and epilepsy in one infant. Two cases (one case of pertussis and one of vagotonia-like condition) were associated with GER. Some of the cases demonstrate that ALTE in infants may be induced by GER or some esophageal dysmotility. Further studies of ALTE are needed to ascertain how frequently GER or esophageal dysmotility is responsible for ALTE.

Apnea↗
PubMed2001

[Laryngeal mask of gastroesophageal reflux disease].

Gastroesophageal reflux disease has become a serious problem not only for general practitioners but for other specialists as well. It is caused by the fact that its clinical picture and symptomatology are very rich. Beside characteristic symptoms such as: heartburn, eructation, gastric contents reflux, epigastric burning or dysphagia, there may appear extroesophageal symptoms (frequently as single or leading ones). It is generally though that the above symptoms result from the direct effect of gastric contents on throat and larynx and/or through vagus nerve. Direct effect of hydrochloric acid and other gastric juice components on larynx may be the cause of subglottic laryngostenosis, neoplastic transformation and development of squamous cell carcinoma. This, it may be concluded that gastroesophageal reflux disease should be in the sphere of interest of laryngologists as well as gastroenterologists. Cooperation of these specialists is particularly useful as it quickens the choice of proper diagnostic procedure and an introduction of an appropriate therapeutic treatment.

Gastroenterology↗