scholarly journals Surgical Procedure for Intractable Aspiration.

1999 ◽  
Vol 50 (6) ◽  
pp. 603-608
Author(s):  
Satoshi Kitahara ◽  
Tetsuya Tanabe ◽  
Manabu Nakanoboh ◽  
Takehiro Karaho ◽  
Yuko Matsumura ◽  
...  
Keyword(s):  
Surgical Procedure ◽  
Intractable Aspiration

Central-part laryngectomy is a useful and less invasive surgical procedure for resolution of intractable aspiration

2013 ◽  
Vol 271 (5) ◽  
pp. 1149-1155 ◽  
Author(s):  
Ai Kawamoto ◽  
Yukio Katori ◽  
Yohei Honkura ◽  
Risako Kakuta ◽  
Kenjiro Higashi ◽  
...  
Keyword(s):  
Surgical Procedure ◽  
Less Invasive ◽  
Intractable Aspiration

Method and Clinical Results of a New Transthyrotomy Closure of the Supraglottic Larynx for the Treatment of Intractable Aspiration

1997 ◽  
Vol 106 (6) ◽  
pp. 451-460 ◽  
Author(s):  
Paul F. Castellanos
Keyword(s):  
Decision Making ◽  
Surgical Procedure ◽  
Vocal Folds ◽  
Clinical Results ◽  
Decision Making Process ◽  
Surgical Decision ◽  
Intractable Aspiration ◽  
False Vocal ◽  
Surgical Decision Making ◽  
Supraglottic Larynx

A new procedure has been developed to surgically separate the pharynx from the trachea that employs the best features of the Montgomery technique, but restricts the closure to only the epiglottis and the aryepiglottic folds. The petiole of the epiglottis is plicated to the false vocal folds and the interarytenoid mucosa. It is performed entirely through a midline thyrotomy approach and avoids injury to any of the structures within the rima glottidis. It has been successfully performed on seven very ill patients to date. The surgical decision-making process involved, a complete description of the surgical procedure, and a summary of the patients' preoperative condition, workup, and outcomes are presented and discussed.

Surgical closure of the larynx for intractable aspiration, using double hinged flaps of the vocal folds and false vocal folds

2006 ◽  
Vol 120 (9) ◽  
pp. 759-763 ◽  
Author(s):  
K Sato ◽  
T Nakashima
Keyword(s):  
Dead Space ◽  
Surgical Procedure ◽  
Anterior Commissure ◽  
Thyroid Cartilage ◽  
Vocal Folds ◽  
Posterior Wall ◽  
Muscle Flaps ◽  
Surgical Closure ◽  
Intractable Aspiration ◽  
False Vocal

We report a new surgical procedure to treat intractable aspiration: closure of the larynx, using double hinged flaps of the vocal folds and false vocal folds.The anterosuperior portion of the thyroid cartilage is ablated. A small horizontal incision is made just above the anterior commissure and is continued posteriorly along the laryngeal ventricle; these incisions are continued across the posterior wall of the glottis. Incisions are made into the bilateral vocal folds and false vocal folds in order to create the hinged flaps. The glottis and the supraglottis are closed by approximating the bilateral vocal folds and false vocal folds hinged flaps. Superiorly or inferiorly based sternohyoid muscle pedicles are then inserted into the dead space between the approximated bilateral vocal folds and false vocal folds hinged flaps. The removed lamina of the thyroid cartilage is obliterated between both sternohyoid muscle flaps to enforce the closure of the larynx.

V703: The Continent Extraperitoneal Vesico-Cutaneous Access Tunnel: A Novel Surgical Procedure for Managing Neurogenic Bladders

2006 ◽  
Vol 175 (4S) ◽  
pp. 227-227
Author(s):  
Ryan C. Hedgepeth ◽  
Michael Aleman ◽  
Humphrey Atiemo ◽  
Joseph Abdelmalak ◽  
Kubilay Inci ◽  
...  
Keyword(s):  
Surgical Procedure

Amputation in fictional literature: the case of Hippolyte in Madame Bovary

VASA ◽  
2001 ◽  
Vol 30 (Supplement 58) ◽  
pp. 3-5 ◽  
Author(s):  
Kauss
Keyword(s):  
Surgical Procedure ◽  
Medical Profession ◽  
Major Amputation ◽  
Madame Bovary

In his famous novel, published in 1856, Flaubert describes the circumstances of a failed surgical procedure ending up in a major amputation. Flaubert, whose father was a physician in Rouen/France, mocks at the medical profession and its victims and proves himself to be compassionate at the same time. About his writing, he explained: "I only measure shit into doses." ("Je ne fais autre chose que de doser de la merde.")

Sternal plate closure: Indications, surgical procedure and follow up

2009 ◽  
Vol 56 (S 01) ◽  
Author(s):  
A Plass ◽  
J Grünenfelder ◽  
U Schurr ◽  
M Pilsl ◽  
G Zund ◽  
...  
Keyword(s):  
Surgical Procedure

Laser lead extraction and subcutaneous-ICD implantation in one surgical procedure

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
B Sill ◽  
N Gosau ◽  
A Aydin ◽  
H Reichenspurner ◽  
H Treede
Keyword(s):  
Surgical Procedure ◽  
Lead Extraction ◽  
Icd Implantation ◽  
Subcutaneous Icd ◽  
Laser Lead Extraction

Achilles Tenorrhaphy in Five Dogs: A Modified Surgical Technique and Evaluation of a Cranial Half Cast

1998 ◽  
Vol 11 (04) ◽  
pp. 205-210 ◽  
Author(s):  
H. Burbidge ◽  
E. Firth ◽  
S. Fox ◽  
S. Guerin
Keyword(s):  
Soft Tissue ◽  
Surgical Technique ◽  
Surgical Procedure ◽  
Normal Function ◽  
Surgical Reconstruction ◽  
Bone Apposition ◽  
Cast Material ◽  
Bilateral Lesions ◽  
Bone Tunnels

SummaryAchilles mechanism rupture in four of five dogs was treated with tenorrhaphy using a modified surgical technique designed to optimise accurate apposition of tendon to bone. Two bone tunnels were drilled in the calcaneal tuber from a plantomedial - dorsolateral, and plantolateral – dorsomedial direction respectively. The distal ends of the tendons were sutured to the calcaneal tuber using a Krachow suture pattern. The remaining dog had a mid-tendon Achilles mechanism rupture. A resinous half cast was placed on the cranial aspect of the tarsocrural joint of all five dogs, for a minimum of six weeks, in order to provide limited post operative support. Du e to insufficient cast material two of the support splints failed and one of these cases also required a second surgical procedure. A varying amount of soft tissue irritation was noted in each case. All of the five Achilles mechanisms healed, and all of the dogs returned to normal function.Five dogs with surgical reconstruction of the Achilles mechanism were stabilised postoperatively with a resinous half cast placed on the cranial aspect of the tarsocrural joint for a minimum of six weeks. Two of these casts failed at the tarsocrural joint when six folds of casting material were used; all subsequent cases had eight folds applied. Variable soft tissue irration was observed under the cast in each case. A modified surgical technique using a Krachow suture pattern allowed good tendon-bone apposition. All five Achilles mechanisms healed, and all dogs returned to normal function. Bilateral lesions were identified in 3 of the 4 dogs examined.

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