Surgical closure of the larynx for the treatment of intractable aspiration: Surgical technique and clinical results

2012 ◽  
Vol 122 (6) ◽  
pp. 1273-1278 ◽  
Author(s):  
Shingo Takano ◽  
Takao Goto ◽  
Masayuki Kabeya ◽  
Niro Tayama
Keyword(s):  
Surgical Technique ◽  
Clinical Results ◽  
Surgical Closure ◽  
Intractable Aspiration

scholarly journals Outcome of Ventral Fusion of Two or Three Cervical Vertebrae with a Locking Compression Plate for the Treatment of Cervical Stenotic Myelopathy in Eight Horses

2018 ◽  
Vol 31 (05) ◽  
pp. 356-363 ◽  
Author(s):  
Anton Fürst ◽  
Elisabeth Ranninger ◽  
José Suárez Sánchez-Andrade ◽  
Jan Kümmerle ◽  
Christoph Kühnle
Keyword(s):  
Surgical Technique ◽  
Cervical Vertebrae ◽  
Clinical Results ◽  
Locking Compression Plate ◽  
Surgery Outcome ◽  
Cord Injury ◽  
Compression Plate ◽  
Data History ◽  
Cervical Stenotic Myelopathy

Objectives It was recently shown that biomechanical stability achieved with a locking compression plate (LCP) for ventral cervical fusion in horses is similar to the commonly used Kerf cut cylinder. The advantages of the LCP system render it an interesting implant for this indication. The goal of this report was to describe surgical technique, complications and outcome of horses that underwent ventral fusion of two or three cervical vertebrae with an LCP. Methods Medical records of eight horses were reviewed for patient data, history, preoperative grade of ataxia, diagnostic imaging, surgical technique and complications. Follow-up information was obtained including clinical re-examination and radiographs whenever possible. Results Two (n = 5) or 3 (n = 3) cervical vertebrae were fused in a mixed population with a median age of 9 months, median weight of 330 kg and median grade of ataxia of 3/5. A narrow 4.5/5.0 LCP (n = 6), a broad 4.5/5.0 LCP (n = 1) and a human femur 4.5/5.0 LCP (n = 1) were applied. Two horses were re-operated due to implant loosening. Six patients developed a seroma. Long-term complications included ventral screw migration in four, spinal cord injury in one and plate breakage in two horses at 720 to 1116 days after surgery. Outcome was excellent in three, good in four, poor in one patient. Clinical Significance The use of an LCP for ventral cervical vertebral fusion is associated with good clinical results. However, a careful surgical technique is required to further reduce the complication rate.

scholarly journals Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results

2013 ◽  
Vol 61 (12) ◽  
pp. 774 ◽  
Author(s):  
KrishnanPanakanti Tandava ◽  
Ravikoti Rajyalakshmi ◽  
SnehalN Radke ◽  
NishantV Radke
Keyword(s):  
Surgical Technique ◽  
Clinical Results

scholarly journals Surgery for the Safe Insertion and Reinsertion of the Banded Electrode Array

1987 ◽  
Vol 96 (1_suppl) ◽  
pp. 10-12 ◽  
Author(s):  
G. M. Clark ◽  
B. C. Pyman ◽  
R. L. Webb ◽  
B. K-H. G. Franz ◽  
T. J. Redhead ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Detailed Analysis ◽  
Electrode Array ◽  
Clinical Results ◽  
Significant Benefit ◽  
Environmental Sounds

Adhering to the surgical technique outlined in the protocol for the Nucleus implant has resulted in over 100 patients worldwide obtaining significant benefit from multichannel stimulation. A detailed analysis of the results in 40 patients shows that it improves their awareness of environmental sounds and their abilities in understanding running speech when combined with lipreading. In addition, one third to one half of the patients also understand significant amounts of running speech without lipreading and some can have interactive conversations over the telephone. It is clear that any insertion trauma is not significant, which is confirmed by the excellent clinical results.

Surgical closure of the larynx for intractable aspiration pneumonia: cannula-free care and minimizing the risk of developing trachea–innominate artery fistula

2015 ◽  
Vol 31 (10) ◽  
pp. 987-990 ◽  
Author(s):  
Kazuya Ise ◽  
Makoto Kano ◽  
Michitoshi Yamashita ◽  
Show Ishii ◽  
Hirofumi Shimizu ◽  
...  
Keyword(s):  
Aspiration Pneumonia ◽  
Innominate Artery ◽  
Surgical Closure ◽  
Free Care ◽  
Intractable Aspiration

scholarly journals Results of a novel surgical technique for iridodialysis repair using segments

2021 ◽  
Author(s):  
Ugur Unsal ◽  
Huri Sabur ◽  
Mehmet Soyler
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Clinical Results ◽  
Study Data ◽  
Invasive Technique ◽  
Minimally Invasive Surgical ◽  
Corrected Distance Visual Acuity ◽  
History Of ◽  
Surgical Manipulation

Abstract Purpose: To describe a novel surgical technique for iridodialysis repair using iris retractor segments and report its clinical results.Methods: 53 eyes of 53 patients who underwent surgery for iridodialysis repair were enrolled in this retrospective study. Data recorded from patient files consisted of age, sex, history of trauma, surgical indications and type of surgery, preoperative and postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), complications, and follow-up time. The novel, minimally invasive surgical technique was explicitly described in detail.Results: Mean follow-up time was 34.4 (range 12-84) months. The subjects were 29 (54.7%) men and 26 (45.3%) women, and the mean age was 56.6±14.0 years. Iridodialysis repair performed using one segment in 37 (69.8%) eyes, two segments in 15 (28.3%) eyes, and three segments in 1 (1.9%) eye. Pupilloplasty was performed in 17 eyes due to wide pupil diameter. The iridodialysis repair was combined with lens removal in 48 eyes, and anterior vitrectomy was performed in 10 eyes. CDVA significantly improved after surgery (p<0.001). Post-traumatic IOP rise was the most common complication, and six patients needed medical therapy for glaucoma control.Conclusion: Iridodialysis repair using iris retractor segment is a minimally invasive technique and found to be safe and effective, providing less surgical manipulation and surgical time than other techniques.

Surgical Closure of Tracheoesophageal Puncture Without a Flap Interposition

2020 ◽  
Vol 163 (3) ◽  
pp. 618-620
Author(s):  
João Fonseca Neves ◽  
Ana Rita Nobre ◽  
Edite Portugal ◽  
Francisco Branquinho
Keyword(s):  
Surgical Technique ◽  
Total Laryngectomy ◽  
Tracheoesophageal Fistula ◽  
Skin Flap ◽  
Anterior Segment ◽  
Continuous Suture ◽  
Vocal Rehabilitation ◽  
Surgical Closure ◽  
Tracheoesophageal Puncture ◽  
Suture Closure

Tracheoesophageal puncture for voice prosthesis placement is often used in vocal rehabilitation of patients undergoing total laryngectomy. Although its closure can occur spontaneously, some patients require a surgical procedure. We propose a surgical technique, without flap interposition, that begins with careful separation of the esophagus and trachea and identification of the site of tracheoesophageal fistula. After continuous suture closure of the esophagus, the anterior segment of the first tracheal rings is vertically incised to facilitate tracheal closure in a suture without tension. Finally, a small pectoral skin flap is made and mobilized to suture to the free edges of the sectioned tracheal rings, thus reducing the risk of tracheal stenosis. Four patients underwent this procedure with uneventful postoperative evolution and permanent closure of the fistula.

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