Type IV Laryngeal Cleft: A Therapeutic Challenge

Type IV laryngeal cleft (LC) is a rare congenital malformation often associated with poorer prognosis compared to lower grades LC. The difficulty in managing LC lies in the ventilation prior to cleft repair, intraoperative anesthesia, technical difficulties to repair a longer cleft and higher rates of post-operative complications. We report a case of a premature neonate with type IV LC who underwent early gastrostomy at birth and survived with optimal medical management despite suffering bouts of pneumonia and life-threatening event. After a late cleft repair at 4-month old, she survived for 3 months post-operatively without complication of relapse fistula. Despite our cleft repair, she was unable to be weaned off from ventilator attributed to her poor neurological recovery and subsequently succumbed to death at 7 months. We would like to discuss the management challenges with regards to ventilation, approach of surgery as well as post-operative complication to improve the management of such complicated disease.

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Massive Subcutaneous Emphysema, Pneumoperitoneum, Pneumoretroperitoneum, and Pneumoscrotum Following ERCP in Living Liver Donor: Apparent Life-threatening Event

10.26226/morressier.58eb975ed462b80290b4fe45 ◽

2017 ◽

Author(s):

Sami Akbulut

Keyword(s):

Subcutaneous Emphysema ◽

Liver Donor ◽

Living Liver Donor ◽

Life Threatening ◽

Life Threatening Event

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CT features of blunt abdominal aortic injury: an infrequent but life-threatening event

Emergency Radiology ◽

10.1007/s10140-021-01964-9 ◽

2021 ◽

Author(s):

Eva Prado ◽

Elena M. Chamorro ◽

Alejandro Marín ◽

Carlos G. Fuentes ◽

Zhao Chen Zhou

Keyword(s):

Aortic Injury ◽

Abdominal Aortic ◽

Life Threatening ◽

Life Threatening Event ◽

Ct Features

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Consequences of antepartum hemorrhage and its maternal and perinatal outcome

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20191203 ◽

2019 ◽

Vol 8 (4) ◽

pp. 1480

Author(s):

Himang Jharaik ◽

Bishan Dhiman ◽

S. K. Verma ◽

Aditi Sharma

Keyword(s):

Perinatal Outcome ◽

Placenta Previa ◽

Developed Countries ◽

Perinatal Morbidity ◽

Antepartum Haemorrhage ◽

High Risk Factors ◽

Fetal Complications ◽

Life Threatening ◽

One Year ◽

Life Threatening Event

Background: Antepartum haemorrhage, a life-threatening event, is defined as bleeding per vaginum occurring after the fetus has reached the period of viability, considered to be 20 weeks in developed countries and 28 weeks in countries with low resource settings. We evaluated the consequences of antepartum haemorrhage, their maternal and perinatal outcome so as to outline the proper management of patient in order to improve both maternal and perinatal morbidity and mortality.Methods: This one-year prospective study totaled 133 cases of APH fulfilling the inclusion criteria were studied. Data was recorded on the MS excel sheet for further analysis and processing.Results: Total 6693 deliveries were conducted out of which 133 presented as APH and incidence of APH was found out to be 1.98%. Placenta previa was most common. APH was commonly associated with multigravida and most cases were in age group of 26-30 years. Most of the PP and abruption cases were admitted at 34-37 weeks and 31-33 weeks respectively. High risk factors included previous LSCS and D and C, hypertension, multiple pregnancies and malpresentations. Most of the patients underwent preterm LSCS. Most fetal complications were due to prematurity. 58.6% patients were transfused blood. Overall perinatal mortality was 20.1% and maternal mortality was zero.Conclusions: Early diagnoses, timely referrals and transfusion facilities along with trained team of doctors with well-equipped ICU facility goes a long way in avoiding APH related maternak and fetal complications.

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Usefulness of Airway Evaluation in Infants Initially Seen With an Apparent Life-Threatening Event

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archoto.2011.37 ◽

2011 ◽

Vol 137 (4) ◽

pp. 359 ◽

Cited By ~ 5

Author(s):

Mark W. Willis ◽

Joshua L. Bonkowsky ◽

Rajendu Srivastava ◽

J. Fredrik Grimmer

Keyword(s):

Life Threatening ◽

Life Threatening Event

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B-PO04-206 A MISSED OPPORTUNITY FOR TIMELY INTERVENTION TO PREVENT A LIFE-THREATENING EVENT

Heart Rhythm ◽

10.1016/j.hrthm.2021.06.898 ◽

2021 ◽

Vol 18 (8) ◽

pp. S362-S363

Author(s):

Mohsin Khan ◽

Vikram Nangia ◽

Tabitha Cumpian ◽

M. Eyman Mortada ◽

Mohamed Djelmami-Hani ◽

...

Keyword(s):

Life Threatening ◽

Life Threatening Event ◽

Missed Opportunity

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Pituitary apoplexy following endoscopic sinus surgery

The Journal of Laryngology & Otology ◽

10.1017/s0022215109991915 ◽

2009 ◽

Vol 124 (6) ◽

pp. 677-679 ◽

Cited By ~ 5

Author(s):

G Fyrmpas ◽

J Constantinidis ◽

N Foroglou ◽

P Selviaridis

Keyword(s):

Endoscopic Sinus Surgery ◽

Pituitary Apoplexy ◽

Symptomatic Improvement ◽

Sinus Surgery ◽

Effective Technique ◽

Pituitary Fossa ◽

Middle Meatal Antrostomy ◽

Risk Patients ◽

Life Threatening ◽

Life Threatening Event

AbstractObjective:To highlight the possibility of pituitary apoplexy after functional endoscopic sinus surgery for elimination of sinonasal infection, an important preparatory step for safe trans-sphenoidal access to the pituitary fossa.Case report:A 67-year-old man with a known pituitary macroadenoma developed headache, diplopia and reduced vision after endoscopic middle meatal antrostomy and ethmoidectomy for rhinosinusitis with polyps. Magnetic resonance imaging showed pituitary haemorrhage. The patient underwent emergency endoscopic trans-sphenoidal resection of the tumour, with significant symptomatic improvement. Despite mild right eyelid ptosis and persistent diabetes insipidus, the patient resumed normal activities in a few weeks. To our knowledge, this is the first report of pituitary apoplexy after a nasal operation.Conclusion:Pituitary apoplexy is a rare and potentially life-threatening event in high risk patients with pituitary adenomas; it may occur spontaneously or after surgical procedures. Early, combined surgical intervention by rhinologists and neurosurgeons is recommended. The endoscopic trans-sphenoidal approach is a safe and effective technique for the acute management of pituitary apoplexy.

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