scholarly journals Surgical closure of the larynx with partial resection of the cricoid cartilage (Kano’s method) in a patient who developed tracheal stenosis after tracheotomy

2019 ◽  
Vol 28 (3) ◽  
pp. 301-306
Author(s):  
Yutomo Seino ◽  
Makoto Kano ◽  
Hiroshi Hosono ◽  
Takuya Ohara ◽  
Syogo Furuki ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Cricoid Cartilage ◽  
Partial Resection ◽  
Surgical Closure

Clinical Results of Tracheostomaplasty by Partial Resection of the Cricoid Cartilage

2017 ◽  
Vol 68 (2) ◽  
pp. 173-174
Author(s):  
T. Hirai ◽  
N. Fukushima ◽  
S. Masuda ◽  
N. Miyahara
Keyword(s):  
Cricoid Cartilage ◽  
Clinical Results ◽  
Partial Resection

scholarly journals Utility of Spirometry Values for Evaluating Tracheal Stenosis Patients Before and After Balloon Dilation

2020 ◽  
pp. 014556132093696
Author(s):  
Abdulaziz Alrabiah ◽  
Shahad Almohanna ◽  
Abdullah Aljasser ◽  
Abdulmajeed Zakzouk ◽  
Syed Shahid Habib ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Cricoid Cartilage ◽  
Demographic Data ◽  
Balloon Dilation ◽  
Negative Relationship ◽  
Diagnostic Methods ◽  
Clinical Value ◽  
Surgical Interventions ◽  
Stenosis Severity ◽  
Operative Findings

Objectives: Tracheal stenosis is defined as a narrowing of the airway distal to the lower edge of the cricoid cartilage. It is initially diagnosed based on clinical presentation and then confirmed using direct laryngobronchoscopy. Other adjunctive diagnostic methods, including spirometry, have been proposed. This study aimed to evaluate the relationship between tracheal stenosis severity and pre- and post-balloon dilatation spirometry parameters in order to assess for significant changes in spirometry values and to evaluate for the effects of stenosis-associated factors on post-dilation spirometry values, including vertical length and grade of the stenosis, as well as the role of wound-modifying agents. Methods: This retrospective study included adults (>18 years of age) with isolated tracheal stenosis who underwent endoscopic balloon dilations at King Saud University Medical City from June 2015 to May 2019, with detailed documentation of operative findings and valid spirometry measurements pre- and post-balloon dilation. Basic demographic data and operative note details, including information about the percentage of tracheal stenosis, distance of tracheal stenosis from vocal cords, vertical length of stenotic segment, and use of wound-modifying agents (topical mitomycin C or triamcinolone injections), were extracted. Results: Fourteen patients with spirometry measurements obtained on 50 occasions (25 pre-balloon dilation and 25 post-balloon dilation) were included. Each 1-unit increase in the vertical length of the stenosis showed a statistically significant negative relationship (−1.47 L/s) with pre-balloon dilation peak expiratory flow (PEF; P = .034). Post-balloon dilation spirometric values showed statistically significant improvements for most variables. Conclusions: The vertical length of an isolated tracheal stenosis can be predicted before surgical interventions using PEF values and may be a significant indicator of anticipated post-balloon dilation surgical success. Our study suggested that spirometry is a very useful technique for evaluating patients with tracheal stenosis due to its noninvasiveness, cost-effectiveness, with a good clinical value.

scholarly journals Tracheostomaplasty by partial resection of the cricoid cartilage

2012 ◽  
Vol 22 (1) ◽  
pp. 87-92
Author(s):  
Tomohiko Kakizaki ◽  
Takashi Tsubuku ◽  
Nayuta Tsushima ◽  
Michiya Matsumura ◽  
Yasushi Furuta
Keyword(s):  
Cricoid Cartilage ◽  
Partial Resection

Improving the Quality of Life of Patients With Severe Dysphagia by Surgically Closing the Larynx

2018 ◽  
Vol 128 (2) ◽  
pp. 96-103 ◽  
Author(s):  
Yurika Kimura ◽  
Seiji Kishimoto ◽  
Takuro Sumi ◽  
Mio Uchiyama ◽  
Keiko Ohno ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Family Caregivers ◽  
Barthel Index ◽  
Cricoid Cartilage ◽  
Oral Intake ◽  
Vocal Function ◽  
Severe Dysphagia ◽  
Surgical Closure ◽  
Functional Oral Intake Scale

Objectives: The aim of this study was to elucidate the utility of the Kano method with surgical closure of the larynx by cricoid cartilage removal in improving quality of life in patients with severe dysphagia and their caregivers. Methods: Nine patients with severe dysphagia who underwent the Kano method were evaluated for oral intake and activities of daily living using the functional oral intake scale and the Barthel index, respectively, as indices of quality of life. Additionally, nutritional status, inflammation, and postoperative complications were assessed. Furthermore, 7 family caregivers were queried regarding frequency of sputum suction, mood of family caregivers, and postoperative satisfaction. Results: Functional oral intake scale and Barthel index scores as well as inflammation improved significantly after surgery ( P < .05). There were no severe complications or other complications requiring surgical intervention. The frequency of sputum suction was reduced postoperatively ( P < .05). The mood of family caregivers was significantly improved and satisfaction level was high postoperatively. Conclusions: Surgical closure of the larynx is an appropriate choice for patients with irreversible severe dysphagia and impaired articulation or vocal function because quality of life is improved for both patients and family caregivers and the satisfaction of family caregivers is sufficient.

scholarly journals Safety of percutaneous dilatational tracheotomy (PDT) with the rigid tracheotomy endoscope (TED): a 6-month follow-up multicenter investigation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Andreas Nowak ◽  
Eckart Klemm ◽  
Caroline Michaelsen ◽  
Taras I. Usichenko ◽  
Sven Koscielny
Keyword(s):  
Intensive Care Unit ◽  
Adverse Events ◽  
Tracheal Stenosis ◽  
Surgical Closure ◽  
Percutaneous Dilatational Tracheotomy ◽  
Swallowing Difficulties ◽  
Tracheocutaneous Fistula ◽  
Structured Questionnaire

Abstract Background The rigid tracheotomy endoscope (TED) was recently introduced to improve the fiberoptic technique during percutaneous dilatational tracheotomy (PDT) in critically ill patients. The aim was to evaluate the long-term complications of PDT using TED equipment in a prospective multicenter investigation. Methods One hundred eighty adult patients underwent PDT using TED in four German hospitals. Patients who were alive or their guardians were contacted via telephone and interviewed using a structured questionnaire 6 months following the tracheostomy procedure. Patients with airway complaints were invited for outpatient clinical ENT examination. The incidence of adverse events related to PDT was registered. Results Of 180 patients who received tracheostomy, 137 (76.1%) were alive at the time of follow-up. None of the 43 lethal events was related to the PDT. Fifty-three (38.7%) patients were available for follow-up examination, whereas 14 (10.2%) were able to visit ENT physicians. Two (3.8%) out of 53 patients developed tracheocutaneous fistula with required surgical closure of tracheostoma. Dyspnea (7.5%), hoarseness (5.7%), stridor and swallowing difficulties (both with 3.8%) were the most common complaints. Tracheal stenosis was confirmed in 1 patient (1.88% [95% CI: 0.33; 9.93]). Conclusion The use of TED for PDT in the clinical setting is safe regarding adverse events at 6-month follow-up. The incidence of tracheal stenosis after PDT with TED is comparable with that of flexible bronchoscopy; however, its role for PDT at the intensive care unit should be clarified in further investigations.

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