Laryngotracheoesophageal Cleft: The Anterior Approach

1977 ◽  
Vol 86 (5) ◽  
pp. 616-622 ◽  
Author(s):  
Douglas W. Bell ◽  
Thomas E. Smith ◽  
Thomas A. Christiansen ◽  
Fred J. Stucker
Keyword(s):  
Tetralogy Of Fallot ◽  
Anterior Approach ◽  
World Literature ◽  
Tracheoesophageal Fistula ◽  
Surgical Approaches ◽  
Lateral Pharyngotomy ◽  
The World ◽  
Successful Repair

Laryngotracheoesophageal cleft was reported by Richter in 1792 after he examined an infant at autopsy and found a common lumen of esophagus and laryngotrachea. The next case was not noted until 1949 by Finlay. A recent review shows 40 cases in the world literature to date. Successful surgical approaches to some of these problems have basically employed a lateral pharyngotomy technique. In the case presented herein, the exact pathology was obscured by a severe tetralogy of Fallot and recurrent pneumonitis from a suspected high H-type tracheoesophageal fistula. The length of this cleft prompted an anterior approach with laryngo-fissure, cricoidotomy, and division of four tracheal rings for a complete and successful repair. Thorough endoscopy of all infants suspected of any laryngeal anomaly would yield an earlier diagnosis and opportunity for reconstruction of the cleft.

Surgical Approaches in Psychiatry: A Survey of the World Literature on Psychosurgery

2017 ◽  
Vol 97 ◽  
pp. 603-634.e8 ◽  
Author(s):  
Felix Neumaier ◽  
Mario Paterno ◽  
Serdar Alpdogan ◽  
Etienne E. Tevoufouet ◽  
Toni Schneider ◽  
...  
Keyword(s):  
World Literature ◽  
Surgical Approaches ◽  
The World

Cleft Larynx: A Report of Seven Cases

1975 ◽  
Vol 84 (6) ◽  
pp. 747-756 ◽  
Author(s):  
Seymour R. Cohen
Keyword(s):  
World Literature ◽  
Surgical Repair ◽  
Tracheobronchial Tree ◽  
Endoscopic Examination ◽  
Stricture Formation ◽  
Posterior Displacement ◽  
Lateral Pharyngotomy ◽  
The World ◽  
Thoracic Approach ◽  
Extensive Defect

The purpose of this paper is to familiarize the otolaryngologist with a difficult and frequently missed anomaly. It is hoped that this will increase the number of successfully managed patients with this affliction. Of the seven herein reported cases, four were posterior clefts limited to the cricoid lamina. Three were more extensive laryngotracheoesophageal clefts. Seven cases are thus added to the approximately 30 cases reported in the world literature. The limited cricoid lamina defect can only be diagnosed by endoscopic examination, and is treated medically. Feedings must be given by gastrostomy only. A tracheotomy is indicated only when oral secretions are aspirated into the tracheobronchial tree. The more extensive laryngotracheoesophageal cleft requires surgical repair through a lateral pharyngotomy approach. When the cleft is extensive and extends into the chest, surgery must include a thoracic approach. The occurrence of cleft larynx in association with tracheoesophageal fistulae, with or without atresia, may be more frequent than generally realized. A search should be made for this anomaly in patients who aspirate after atresia repair has been accomplished, before attributing this symptom to severe stricture formation, or recurrence of the fistula. The problem of aspiration in posterior cleft larynx is due to the lateral and posterior displacement of the arytenoids. This malposition is due to the absence or deficiency of the interarytenoidius muscle so that the posticus muscle is unopposed. The term “posterior cleft larynx” should be used only where the defect is limited to the cricoid lamina, while laryngotracheoesophageal cleft should be applied to the more extensive defect.

scholarly journals DIAGNOSTIC CRITERIA AND SURGICAL APPROACHES TO THE TREATMENT OF OVARIAN TUMOR NOMINATIONS

2020 ◽  
pp. 51-54
Author(s):  
M. O. Shcherbina ◽  
I. M. Shcherbina ◽  
O. V. Saltovsky
Keyword(s):  
Diagnostic Criteria ◽  
World Literature ◽  
Optimal Algorithm ◽  
Modern Medicine ◽  
Current Data ◽  
Ovarian Tumors ◽  
Surgical Approaches ◽  
Advantages And Disadvantages ◽  
The Past ◽  
The World

Resume. The aim of the work was to study modern diagnostic criteria and surgical approaches to the treatment of ovarian tumors. The objectives of the work were to highlight the arsenal of diagnostic and therapeutic capabilities of modern medicine for various ovarian tumors, discuss the advantages and disadvantages of methods and select the optimal algorithm for managing patients with this pathology. Materials and methods. A retrospective study of cases of ovarian tumors in patients over the past 5 years, studied the current data of the world literature on this topic. The conclusions of the work indicate the need for a comprehensive approach to the diagnosis and treatment of ovarian tumors and an individual approach to the patient in each case.

Tension pneumo-orbit treated by endoscopic, endonasal decompression: case report and literature review

2008 ◽  
Vol 122 (3) ◽  
Author(s):  
L Al-Shammari ◽  
A Majithia ◽  
A Adams ◽  
P Chatrath
Keyword(s):  
Case Report ◽  
World Literature ◽  
Sinus Surgery ◽  
Surgical Approaches ◽  
Endoscopic Endonasal ◽  
Orbital Emphysema ◽  
Orbital Wall ◽  
The World ◽  
Medial Orbital Wall ◽  
Orbital Complications

AbstractObjective:We present a 38-year-old man with a tension pneumo-orbit following medial orbital wall fracture, managed with endoscopic decompression.Method:A case report and a review of the world literature concerning the aetiology, clinical features and management of medial orbital wall fractures are presented.Results:Our patient presented with a post-traumatic tension pneumo-orbit exacerbated by air travel and nose-blowing. Computed tomography revealed a fracture of the ethmoid bone, and intra-orbital emphysema causing proptosis. Management with endoscopic, endonasal surgery produced excellent results, with decompression achieved and immediate and sustained improvement in visual acuity.Conclusion:A search of the world literature revealed no documented cases of tension pneumo-orbit as a complication of medial orbital wall fracture. Endoscopic sinus surgery is currently used in the management of nasal and sinus diseases and their orbital complications. We discuss this extended indication of endoscopic surgery, and its advantages over other surgical approaches.

Prevention of aspiration following recurrent dislodgement of voice prosthesis: a patient's innovation

2008 ◽  
Vol 123 (6) ◽  
pp. 680-682
Author(s):  
M Masaany ◽  
M B Marina ◽  
A Asma ◽  
A Sani
Keyword(s):  
Total Laryngectomy ◽  
World Literature ◽  
Tracheoesophageal Fistula ◽  
Voice Prosthesis ◽  
Voice Restoration ◽  
The World ◽  
Carcinoma Of The Larynx ◽  
Cheap Method ◽  
Tracheal Stoma ◽  
The Voice

AbstractObjective:To demonstrate a simple, practical, cheap method of preventing potentially fatal aspiration of a dislodged voice prosthesis; this method was developed by a laryngectomised patient.Case report:A patient diagnosed with squamous cell carcinoma of the larynx underwent total laryngectomy. Upon completion of radiotherapy, a tracheoesophageal fistula was created and a voice prosthesis inserted to enable voice restoration. Unfortunately, the patient presented subsequently with repeated episodes of dislodgement and an episode of potentially fatal aspiration of the voice prosthesis, despite various measures taken by the surgeons to overcome the problem. The patient subsequently developed a method enabling him to retrieve the voice prosthesis himself should it become dislodged. He attached a ring to the prosthesis, which was larger in diameter than the tracheal stoma, thus preventing ingestion or recurrence of aspiration.Conclusion:To our knowledge, this is the first report in the world literature of this form of innovation, created by a laryngectomised patient, to overcome the problem of aspiration or ingestion of a dislodged voice prosthesis.

Indonesian Literature’s Position in World Literature

TEKNOSASTIK ◽  
2018 ◽  
Vol 14 (2) ◽  
pp. 1
Author(s):  
Dina Amelia
Keyword(s):  
World Literature ◽  
The Other ◽  
National Literature ◽  
Western World ◽  
The World ◽  
The One ◽  
The Voice

There are two most inevitable issues on national literature, in this case Indonesian literature. First is the translation and the second is the standard of world literature. Can one speak for the other as a representative? Why is this representation matter? Does translation embody the voice of the represented? Without translation Indonesian literature cannot gain its recognition in world literature, yet, translation conveys the voice of other. In the case of production, publication, or distribution of Indonesian Literature to the world, translation works can be very beneficial. The position of Indonesian literature is as a part of world literature. The concept that the Western world should be the one who represent the subaltern can be overcome as long as the subaltern performs as the active speaker. If the subaltern remains silent then it means it allows the “representation” by the Western.

Comparing Comparisons: Political Implications of Different Notions of Difference

2016 ◽  
Vol 13 (1) ◽  
pp. 7-26
Author(s):  
Glenn Odom
Keyword(s):  
Cultural Studies ◽  
World Literature ◽  
The West ◽  
Political Debates ◽  
Political Implications ◽  
The World ◽  
Critical Attention ◽  
David Damrosch ◽  
Location Point

With the rise of the American world literature movement, questions surrounding the politics of comparative practice have become an object of critical attention. Taking China, Japan and the West as examples, the substantially different ideas of what comparison ought to do – as exhibited in comparative literary and cultural studies in each location – point to three distinct notions of the possible interactions between a given nation and the rest of the world. These contrasting ideas can be used to reread political debates over concrete juridical matters, thereby highlighting possible resolutions. This work follows the calls of Ming Xie and David Damrosch for a contextualization of different comparative practices around the globe.

Boatmen, Wastrels, and Demons: Figures of Literature

CounterText ◽  
2018 ◽  
Vol 4 (1) ◽  
pp. 30-56 ◽  
Author(s):  
Simona Sawhney
Keyword(s):  
Social Studies ◽  
World Literature ◽  
Literary Texts ◽  
Sanskrit Text ◽  
Modern Democracy ◽  
Political Debates ◽  
The World ◽  
National Literatures

Engaging some of the questions opened by Ranjan Ghosh's and J. Hillis Miller's book Thinking Literature Across Continents (2016), this essay begins by returning to Aijaz Ahmad's earlier invocation of World Literature as a project that, like the proletariat itself, must stand in an antithetical relation to the capitalism that produced it. It asks: is there an essential link between a certain idea of literature and a figure of the world? If we try to broach this link through Derrida's enigmatic and repeated reflections on the secret – a secret ‘shared’ by both literature and democracy – how would we grasp Derrida's insistence on the ‘Latinity’ of literature? The groundlessness of reading that we confront most vividly in our encounter with fictional texts is both intensified, and in a way, clarified, by new readings and questions posed by the emergence of new reading publics. The essay contends that rather than being taught as representatives of national literatures, literary texts in ‘World Literature’ courses should be read as sites where serious historical and political debates are staged – debates which, while being local, are the bearers of universal significance. Such readings can only take place if World Literature strengthens its connections with the disciplines Miller calls, in the book, Social Studies. Paying particular attention to the Hindi writer Premchand's last story ‘Kafan’, and a brief section from the Sanskrit text the Natyashastra, it argues that struggles over representation, over the staging of minoritised figures, are integral to fiction and precede the thinking of modern democracy.

Pelvic schwannoma

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 84-86
Author(s):  
Sergei P. Sinchikhin ◽  
Sarkis G. Magakyan ◽  
Oganes G. Magakyan
Keyword(s):  
Auditory Nerve ◽  
World Literature ◽  
Morphological Study ◽  
Clinical Observation ◽  
Nerve Trunk ◽  
Practical Case ◽  
Surgical Volume ◽  
The World ◽  
Brain And Spinal Cord ◽  
The Brain

Relevance.A neoplasm originated from the myelonic sheath of the nerve trunk is called neurinoma or neurilemmoma, neurinoma, schwannoglioma, schwannoma. This tumor can cause compression and dysfunction of adjacent tissues and organs. The most common are the auditory nerve neurinomas (1 case per 100 000 population per year), the brain and spinal cord neurinomas are rare. In the world literature, there is no information on the occurrences of this tumor in the pelvic region. Description.Presented below is a clinical observation of a 30-year-old patient who was scheduled for myomectomy. During laparoscopy, an unusual tumor of the small pelvis was found and radically removed. A morphological study allowed to identify the remote neoplasm as a neuroma. Conclusion.The presented practical case shows that any tumor can hide under a clinical mask of another disease. The qualification of the doctor performing laparoscopic myomectomy should be sufficient to carry out, if necessary, another surgical volume.

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