scholarly journals Laryngotracheoplasty with T-tube Stenting by Modification of Shiann Yann Lee's Technique

2014 ◽  
Vol 4 (2) ◽  
pp. 60-62
Author(s):  
Mohan HM Kumar ◽  
Rijo M Jayaraju
Keyword(s):  
Retrospective Study ◽  
Success Rate ◽  
Endotracheal Intubation ◽  
Surgical Procedure ◽  
Age Group ◽  
Laryngotracheal Stenosis ◽  
Challenging Problem ◽  
T Tube ◽  
Male Preponderance ◽  
Cervical Trachea

ABSTRACT Background Laryngotracheal stenosis is a challenging problem in laryngology which is often misdiagnosed and improperly treated. It is also on the rise due to increase in the number of accidental trauma, prolonged intubations or tracheostomy. Laryngotracheoplasty by Shiann Yann Lee's technique with T-tube stenting is a common accepted surgical procedure these days. Materials and methods Ours is a retrospective study of 14 cases of laryngotracheal stenosis over a period of 20 years from 1993 to 2014, who underwent laryngotracheoplasty with T-tube stenting by a modification of Shiann Yann Lee's technique. Results In our study of 14 patients, the incidence of laryngotracheal stenosis was found to be maximum in the age group of 21 to 30 years with a male preponderance. The commonest etiological factor was prolonged endotracheal intubation or cuffed tracheostomy. The commonest site of the stenosis in our study was cervical trachea. The average time for removal of T-tube was 18 months. All the 14 patients had an uneventful period between insertion and removal of T-tube without any complications. The success rate of our study was hence 100%. Conclusion Laryngotracheoplasty with T-tube stenting by our modification of Shiann Yann Lee's technique is an effective and successful method in the management of laryngotracheal stenosis with a success rate of 100%. How to cite this article Kumar MHM, Jayaraju RM. Laryngotracheoplasty with T-tube Stenting by Modification of Shiann Yann Lee's technique. Int J Phonosurg Laryngol 2014;4(2):60-62.

Montgomery T-tube for Management of Tracheal Stenosis: A Retrospective Analysis in a Government Hospital of South India

2016 ◽  
Vol 6 (2) ◽  
pp. 73-77
Author(s):  
Myle Mahesh Babu
Keyword(s):  
Retrospective Analysis ◽  
Tracheal Stenosis ◽  
South India ◽  
Good Alternative ◽  
Tracheal Resection ◽  
Laryngotracheal Stenosis ◽  
Government Hospital ◽  
Airway Patency ◽  
T Tube ◽  
Male Preponderance

ABSTRACT This study investigated the outcome of patients who developed tracheal stenosis after tracheostomy or intubation using Montgomery T-tube. We reviewed 21 patients who had experienced tracheal stenosis at a single institution, over 7 years from January 2008 to January 2015. Majority were in the age group of 20 to 30 years and a male preponderance was noted. The duration between extubation and appearance of respiratory symptoms ranged from 32 to 96 days. Location of stenosis was more common in subglottic region (61.9%), followed by tracheal (33.33%) and laryngotracheal stenosis (4.7%). At the end of 6 months, 18 of 21 patients were decannulated successfully and 3 were decannulated at the end of 9 months. Our study showed that use of Montgomery T-tube for laryngotracheal stenosis gave complete improvement in all the patients. Tracheal resection and anastomosis is the definitive surgical treatment of choice in tracheal stenosis but when surgical management is not feasible T-tube is a good alternative and T-tube as front line of management has produced complete improvement in airway patency and restoration of voice in our study. How to cite this article Babu MM, Kumar RA, Thirugnanamani R. Montgomery T-tube for Management of Tracheal Stenosis: A Retrospective Analysis in a Government Hospital of South India. Int J Phonosurg Laryngol 2016;6(2):73-77.

scholarly journals Safety, efficacy and airway complications of the flexible laryngeal mask airway in functional endoscopic sinus surgery: A retrospective study of 6661 patients

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0245521
Author(s):  
Chunhua Xi ◽  
Dongjing Shi ◽  
Xu Cui ◽  
Guyan Wang
Keyword(s):  
Retrospective Study ◽  
Laryngeal Mask Airway ◽  
Success Rate ◽  
Endotracheal Intubation ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Factors Associated ◽  
Airway Complications ◽  
Primary Success

Objectives Although the flexible laryngeal mask airway (FLMA) provides considerable advantages in head and neck procedures, little is known about its safety and efficacy in functional endoscopic sinus surgery (FESS). We conducted a retrospective study to evaluate the success rate of FLMA and relevant airway complications in FESS under general anaesthesia. Methods A retrospective review of consecutive patients who underwent FESS for chronic rhinosinusitis was performed from 2015 to 2019. All patients scheduled for FLMA ventilation were identified. Patient characteristics, length of the surgery, FLMA size, failed FLMA cases requiring endotracheal intubation, immediate adverse airway events and delayed airway injuries were recorded. The primary outcomes included the FLMA success rate, which was defined as primary success after induction and final success after the whole surgical procedure. The secondary outcomes were specific clinical factors associated with FLMA failure and airway complications related to FLMA usage. Results Of the 6661 patients included in our study, primary success was achieved in 6572 (98.7%), and final success was achieved in 6512 (97.8%). Failure occurred in 89 patients (1.3%) during induction, in 14 (0.2%) during surgical preparation and in 46 (0.7%) during the intraoperative procedure. All patients with failed FLMA ventilation were successfully switched to endotracheal intubation. Male sex, advanced age, higher American Society of Anesthesiologists grade (ASA) and higher body mass index (BMI) were independent risk factors associated with failed FLMA. Immediate adverse respiratory events were observed in 0.85% of the patients, and delayed airway injuries associated with use of FLMA were observed in 0.07%. Conclusion This retrospective study demonstrates a high success rate for FLMA (97.8% in 6661 patients undergoing FESS). Adverse airway events and injuries associated with FLMA are rare, but clinicians should remain vigilant so that early diagnosis and prompt treatment can be provided.

scholarly journals Intestinal intussusception in infants: Interest of ultrasound-guided hydrostatic reduction

2021 ◽  
Vol 319 ◽  
pp. 01087
Author(s):  
Nasser Maskaoui ◽  
Samia Laklalech ◽  
Mounir Erraji ◽  
Hicham Zerhouni ◽  
Fouad Ettayebi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Success Rate ◽  
Emergency Service ◽  
Ultrasound Guidance ◽  
Bowel Resection ◽  
Age Group ◽  
Ultrasound Guided ◽  
Hydrostatic Reduction ◽  
Primary Surgery ◽  
Group 3

Ultrasound-guided hydrostatic reduction of acute intussusception is a nonoperative technique, simple, performed under ultrasound guidance without risk of irradiation. Purpose: Our study aimed to evaluate the efficiency and utility of Ultrasound-guided hydrostatic reduction in the management of infant intussusception. Material and Methods: We conducted a retrospective study of cases of intussusception in infants (1-24 months) treated in the pediatric surgical emergency service of Rabat children’s Hospital during the period 2016-2020. Of the 135 cases collected during the study, 109 patients received ultrasound-guided hydrostatic reduction while 26 infants inderwent primary surgery. Results: This condition was most common in the age group (3-9 months) with 78% of cases. The sex ratio M/F was 2.29. The ileocolic type was the most encountered (56%). The complete ultrasound hydrostatic reduction was achieved for 88 infants with a success rate of 81% and an average hospitalization time of 1.4 days. 21 cases (19%) of which 16 failed hydrostatic reduction and 05 recurrences within 24 hours, were taken up by surgery with manual reduction and bowel resection for respectively 19 and 02 cases. Conclusion: Ultrasound guided hydrostatic reduction is a safe, quick and efficient method with a high success rate, a decrease in the occurrence of recurrences and complications and should be recommended first.

scholarly journals Pyelonephritis in Pediatric Uropathic Patients: Differences from Community-Acquired Ones and Therapeutic Protocol Considerations. A 10-Year Single-Center Retrospective Study

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 436
Author(s):  
Giovanni Parente ◽  
Tommaso Gargano ◽  
Stefania Pavia ◽  
Chiara Cordola ◽  
Marzia Vastano ◽  
...  
Keyword(s):  
Escherichia Coli ◽  
Retrospective Study ◽  
Success Rate ◽  
Pediatric Population ◽  
Gram Negative Bacteria ◽  
Gram Positive ◽  
Gram Negative ◽  
Gram Positive Bacteria ◽  
Significant Difference ◽  
Klebsiella Spp

Pyelonephritis (PN) represents an important cause of morbidity in the pediatric population, especially in uropathic patients. The aim of the study is to demonstrate differences between PNs of uropathic patients and PNs acquired in community in terms of uropathogens involved and antibiotic sensitivity; moreover, to identify a proper empiric therapeutic strategy. A retrospective study was conducted on antibiograms on urine cultures from PNs in vesicoureteral reflux (VUR) patients admitted to pediatric surgery department and from PNs in not VUR patients admitted to Pediatric Emergency Unit between 2010 and 2020. We recorded 58 PNs in 33 patients affected by VUR and 112 PNs in the not VUR group. The mean age of not VUR patients at the PN episode was 1.3 ± 2.6 years (range: 20 days of life–3 years), and almost all the urine cultures, 111 (99.1%), isolated Gram-negative bacteria and rarely, 1 (0.9%), Gram-positive bacteria. The Gram-negative uropathogens isolated were Escherichia coli (97%), Proteus mirabilis (2%), and Klebsiella spp. (1%). The only Gram-positive bacteria isolated was an Enterococcus faecalis. As regards the antibiograms, 96% of not VUR PNs responded to beta-lactams, 99% to aminoglycosides, and 80% to sulfonamides. For the VUR group, mean age was 3.0 years ± 3.0 years (range: 9 days of life–11 years) and mean number of episodes per patient was 2.0 ± 1.0 (range: 1–5); 83% of PNs were by Gram-negatives bacteria vs. 17% by Gram-positive: the most important Gram-negative bacteria were Pseudomonas aeruginosa (44%), Escherichia coli (27%), and Klebsiella spp. (12%), while Enterococcus spp. determined 90% of Gram-positive UTIs. Regimen ampicillin/ceftazidime (success rate: 72.0%) was compared to ampicillin/amikacin (success rate of 83.0%): no statistically significant difference was found (p = 0.09). The pathogens of PNs in uropathic patients are different from those of community-acquired PNs, and clinicians should be aware of their peculiar antibiotic susceptibility. An empiric therapy based on the association ampicillin + ceftazidime is therefore suggested.

TO DETERMINE THE PREVALENCE AND OCCURANCE OF VISUAL MORBIDITY IN PATIENTS OF PTERYGIUM ATTENDING EYE OPD IN A TERTIARY CARE CENTRE OF EASTERN INDIA

2021 ◽  
pp. 80-81
Author(s):  
Vandana Parasar ◽  
Vidyabhushan Kumar ◽  
Ankita Singh ◽  
Nilesh Mohan
Keyword(s):  
Socioeconomic Status ◽  
Tertiary Care ◽  
Living Condition ◽  
Age Group ◽  
Care Centre ◽  
Eastern India ◽  
Tertiary Care Centre ◽  
Male Preponderance ◽  
Uvb Exposure ◽  
Epidemiological Trends

To determine the prevalence and occurrence of visual morbidity in patients of pterygium attending eye opd in a tertiary care centre of Bihar. Methods: In this observational study a total of 193 patients, diagnosed with pterygium, underwent complete ocular examination by an ophthalmologist. Epidemiological trends including age, sex, occupation, effect of living condition and socioeconomic status were analyzed. Results: There is a male preponderance of 58.03%. The age incidence of the group showed that the incidence of pterygium was 10.36% in the age group of less than 30 years. It rises to a maximum of 29.53% in the age of 41-50 years and then gradually declines.. The incidence was found to be maximum among farmers(39.86%) followed by miners(31%). Conclusion: People who work outdoors are at a greater risk because they are subjected to involuntary UVB exposure. The highest exposure occurs during the two hours on either side of noon. Workers must be aware and should take appropriate measures like wearing protective glasses, caps, etc

scholarly journals TVT PROCEDURE FOR THE TREATMENT OF SUI: OUR EXPERIENCE

2010 ◽  
Vol 16 (1) ◽  
pp. 17
Author(s):  
F. Magatti ◽  
P.L. Sirtori ◽  
C. Rumi ◽  
C. Belloni
Keyword(s):  
Urinary Incontinence ◽  
Minimally Invasive ◽  
Success Rate ◽  
Stress Incontinence ◽  
Spinal Anaesthesia ◽  
Surgical Procedure ◽  
Urinary Stress Incontinence ◽  
Invasive Technique ◽  
Female Urinary Incontinence ◽  
Tvt Procedure

In this study we determined the efficacy of TVT for the treatment of female urinary incontinence in a first group of patients (69) of our urogynaecology service from April 1998 to December 2000. The TVT procedure is a minimally invasive technique, using local or spinal anaesthesia, which consists in the implantation of a Prolene tape around the mid-urethra. On the basis of our results (92.3 % success rate) we consider the TVT procedure to be a safe and effective surgical procedure for the treatment of female urinary stress incontinence.

Ocular Cysticercosis — A Profile

2003 ◽  
Vol 33 (3) ◽  
pp. 185-188 ◽  
Author(s):  
Anuradha Chowdhary ◽  
Rajlakshmi Bansal ◽  
Kirti Singh ◽  
Varinder Singh
Keyword(s):  
Retrospective Study ◽  
Medical Treatment ◽  
Surgical Excision ◽  
North India ◽  
Age Group ◽  
Common Site ◽  
Referral Centre ◽  
Tertiary Referral ◽  
Tertiary Referral Centre ◽  
Ocular Cysticercosis

A retrospective study was conducted on all histopathologically proven cases of ocular cysticercosis spanning a decade in a tertiary referral centre of North India. The symptomatology, presentation, complications and treatment therapies of 18 of these patients are discussed. The most common age group to be affected was 11–20 years (50%), while the most common site involved was subconjunctival (78%), followed by lid (11%). Spontaneous extrusion was documented in three cases. Medical treatment with albendazole under the cover of corticosteroids was found to be a useful adjunct to surgical excision.

scholarly journals Retrospective study on socio-demographic factors responsible for acceptance of IUCD among postpartum women

2019 ◽  
Vol 7 (3) ◽  
pp. 882
Author(s):  
Pavan Sable ◽  
Rajendra Bagul ◽  
Alokkumar Singh
Keyword(s):  
Retrospective Study ◽  
Educational Status ◽  
Sociodemographic Factors ◽  
Normal Vaginal Delivery ◽  
Postpartum Women ◽  
Age Group ◽  
Rural Government ◽  
The Government ◽  
Socio Demographic Factors ◽  
Year 2000

Background: Despite the availability of modern and scientific measures, unacceptably high numbers of maternal deaths still occur in developing countries. Spacing methods of family planning may avoid maternal and infant deaths. The Government of India launched postpartum IUCD (PPIUCD) services in the year 2000; although acceptance of Postpartum IUCD is a real concern.Methods: The retrospective study was conducted in rural government hospital in Maharashtra during 2016 - 2017. We analyzed sociodemographic variables and acceptance of Postpartum IUCD among postpartum women. The sample size was 595 (N=595). The sociodemographic factors studied included age, type of delivery, sex of newborn, socioeconomic status, educational status, etc.Results: The total postpartum women included in the study was 595, out of which, 202 (34%) accepted for postpartum IUCD whereas 393 (66%) rejected for the same. The most common age group was 20-25 years (65%), followed by age group 25-30 years (30%). Primipara was the comment group (45%) and normal vaginal delivery was common (95%). The educational status of both, the postpartum women and their husband, showed statistically significant association with acceptance of postpartum IUCD (p<0.05).Conclusions: The acceptance Postpartum IUCD was low (34%). The women’s and their husband’s educational status is an important factor in acceptance of Postpartum IUCD (p<0.05). Due attention should be given to enhancing educational level of women, also effective counselling both for pregnant woman and her husband during ANC is required.

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