Management of the Embedded Tracheoesophageal Prosthesis: Retrograde Removal and Replacement

2020 ◽  
pp. 000348942096770
Author(s):  
Ciersten A. Burks ◽  
Allen L. Feng ◽  
Daniel G. Deschler
Keyword(s):  
Tracheal Wall ◽  
Small Opening ◽  
Voice Restoration ◽  
Common Wall ◽  
Coated Wire ◽  
The Common ◽  
Tracheoesophageal Puncture ◽  
The Wire ◽  
Retrograde Technique ◽  
Posterior Tracheal Wall

Objective: To describe the retrograde removal of a tracheoesophageal (TE) prosthesis embedded in the common wall between the trachea and esophagus with preservation of the original tracheoesophageal puncture (TEP) tract with subsequent placement of new tracheoesophageal prosthesis for voice restoration. Methods: The Blom-Singer TEP Set (InHealth Technologies, Carpinteria, CA) was used to facilitate this procedure. The coated wire leader cable was threaded through the small opening in the posterior tracheal wall and into the lumen of the old TE prosthesis. The wire was pulled through the mouth in retrograde fashion - bringing the old TE prosthesis out with it and dilating the existing TEP tract. A new prosthesis was then placed over the end of the wire and returned through the stoma, delivering the prosthesis through the TE tract and into the stoma. Results: Safe, voice restoration with avoidance of need for multiple procedures. Conclusion: Removal of an embedded prosthesis and simultaneous replacement of a new prosthesis was safely and efficiently achieved using a retrograde technique which maintained the patency of the prior TE tract and restored voice.

scholarly journals The possible origin of the common wall lizard, Podarcis muralis (Laurenti, 1768) in Ukraine

Herpetozoa ◽  
2020 ◽  
Vol 33 ◽  
pp. 87-93
Author(s):  
Oleksandra Oskyrko ◽  
Hanna Laakkonen ◽  
Iolanda Silva-Rocha ◽  
Daniel Jablonski ◽  
Oleksiy Marushchak ◽  
...  
Keyword(s):  
Mitochondrial Gene ◽  
Geographic Region ◽  
Danube River ◽  
Eastern European ◽  
Native Population ◽  
Podarcis Muralis ◽  
Common Wall ◽  
The Common ◽  
Genetic Signal ◽  
Human Transport

The phylogenetic relationships and possible origin of a putative non-native population of Podarcis muralis in Ukraine were assessed based on sequences of the mitochondrial gene cytochrome b. Phylogenetic analysis showed that the Ukrainian lizards belong to two distinct mitochondrial lineages (haplogroups), both occurring within the Central Balkan clade, which includes most of central and south-eastern European populations. From overall three detected Ukrainian haplotypes, one haplotype share same genetic signal with the hyplotype from the locality Bjala (Bulgaria), the other two are unique for Ukrainian population. Two of haplotypes correspond with haplogroup covering large geographic region of Bulgaria, Serbia, and Romania. These results reinforce previous findings that the species has the ability to establish new populations out of its native range. While most introductions to Germany and Britain have been deliberate, it appears likely that human transport of goods via the Danube river of goods is responsible for the range expansion into Ukraine.

Perforation of the Posterior Tracheal Wall during Percutaneous Dilatational Tracheotomy

ORL ◽  
2000 ◽  
Vol 62 (3) ◽  
pp. 167-169 ◽  
Author(s):  
Philipp Dost ◽  
Norbert Thürauf ◽  
Wolf Armbruster ◽  
Beate Schoch ◽  
Martin Zülke ◽  
...  
Keyword(s):  
Tracheal Wall ◽  
Percutaneous Dilatational Tracheotomy ◽  
Posterior Tracheal Wall

scholarly journals Preventing Posterior Tracheal Wall Perforation in Percutaneous Dilational Tracheotomy

2007 ◽  
Vol 86 (9) ◽  
pp. 546-548 ◽  
Author(s):  
Jason S. Hamilton ◽  
Sofia Avitia ◽  
Ryan F. Osborne
Keyword(s):  
Tracheal Wall ◽  
Wall Perforation ◽  
Posterior Tracheal Wall

scholarly journals Cricothyroidotomy needle length is associated with posterior tracheal wall injury

Medicine ◽  
2020 ◽  
Vol 99 (9) ◽  
pp. e19331
Author(s):  
Atsuko Katayama ◽  
Kunitaro Watanabe ◽  
Joho Tokumine ◽  
Alan Kawarai Lefor ◽  
Harumasa Nakazawa ◽  
...  
Keyword(s):  
Tracheal Wall ◽  
Needle Length ◽  
Wall Injury ◽  
Posterior Tracheal Wall

Lateralization in the escape behaviour of the common wall lizard (Podarcis muralis)

2010 ◽  
Vol 207 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Beatrice Bonati ◽  
Davide Csermely ◽  
Pilar López ◽  
José Martín
Keyword(s):  
Escape Behaviour ◽  
Podarcis Muralis ◽  
Common Wall ◽  
The Common

Tracheoesophageal Puncture for Alaryngeal Voice Restoration

1981 ◽  
Vol 90 (5) ◽  
pp. 492-494 ◽  
Author(s):  
Benjamin G. Wood ◽  
Melinda G. Rusnov ◽  
Harvey M. Tucker ◽  
Howard L. Levine
Keyword(s):  
Surgical Technique ◽  
Cleveland Clinic ◽  
Cleveland Clinic Foundation ◽  
Factors Affecting ◽  
Voice Restoration ◽  
Clinic Foundation ◽  
Communicative Disorders ◽  
Tracheoesophageal Puncture

Thirty-two tracheoesophageal punctures (TEP) were performed on 30 patients by The Cleveland Clinic Foundation Department of Otolaryngology and Communicative Disorders. In all cases, the Blom-Singer duckbill prosthesis was utilized for alaryngeal voice restoration. Ninety-three percent of patients were able to produce significantly better voice following TEP when compared to their preoperative mode of communication. The preoperative orientation/evaluation format, surgical technique, success-failure ratios, and possible factors affecting successful TEP voice restoration are examined.

Effects of feeder and penning design on social facilitation of eating in pigs in adjoining pens

1999 ◽  
Vol 1999 ◽  
pp. 182-182
Author(s):  
H.W. Gonyou ◽  
C. Peterson ◽  
K. Getson
Keyword(s):  
Social Facilitation ◽  
Extended Period ◽  
Feed Consumption ◽  
Visual Contact ◽  
Common Wall ◽  
The Common

Social facilitation occurs when one animal increases performance of a behaviour due to the presence of another animal engaged in that same behaviour. Gonyou et al. (1992) reported that pigs in adjoining pens ate simultaneously more often if the feeders were adjacent to the common wall. Feeders which allow pigs to see pigs in the adjacent pen increase feed consumption in short trials (Hutson, 1995). Although these studies reported some form of social facilitation, the studies were either too short to detect an improvement in productivity, or none resulted. The objectives of this study were to determine if social facilitation of eating between pens of pigs can best be achieved by allowing visual contact through the wall or the feeder, and if feed consumption can be increased over an extended period of time.

scholarly journals Statistical methodology for the evaluation of leukocyte data in wild reptile populations: A case study with the common wall lizard (Podarcis muralis)

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0237992
Author(s):  
Roberto Sacchi ◽  
Marco Mangiacotti ◽  
Stefano Scali ◽  
Alan J. Coladonato ◽  
Silvia Pitoni ◽  
...  
Keyword(s):  
Statistical Methodology ◽  
Podarcis Muralis ◽  
Common Wall ◽  
The Common
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