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Related Concept Videos

Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
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Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
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Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...

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Transplantation of Olfactory Ensheathing Cells to Evaluate Functional Recovery after Peripheral Nerve Injury
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Long-Term Outcomes and Revision Rates in Laryngeal Reinnervation.

Vanessa F Torrecillas1, Matthew R Hoffman2, Breanne Schiffer3

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, U.S.A.

The Laryngoscope
|January 27, 2024
PubMed
Summary
This summary is machine-generated.

Unilateral, nonselective laryngeal reinnervation significantly improves voice quality and function in patients with vocal fold paralysis. The procedure demonstrates a favorable revision rate of 8.3%, comparable to other surgical options.

Keywords:
ansa‐RLNlaryngeal reinnervationrevision rateunilateral vocal fold paralysis

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Speech and Language Pathology

Background:

  • Unilateral vocal fold paralysis often impairs voice quality.
  • Nonselective laryngeal reinnervation is an established treatment, but long-term outcomes and revision rates are not well-documented.

Purpose of the Study:

  • To evaluate the long-term outcomes and revision rates of unilateral, nonselective laryngeal reinnervation in pediatric and adult patients.
  • To assess the impact of this procedure on voice function and patient-reported outcomes.

Main Methods:

  • Retrospective review of 132 patients undergoing unilateral, nonselective ansa-recurrent laryngeal nerve (RLN) reinnervation by a single surgeon (2000-2022).
  • Exclusion of patients with bilateral, super selective, deinnervation/reinnervation, or concurrent arytenoid adduction.
  • Outcome measures included maximum phonation time (MPT), voice handicap index (VHI), patient-reported voice quality, revision rates, and complications.

Main Results:

  • Significant improvements in MPT and patient-reported voice quality, with a significant decrease in VHI.
  • A revision rate of 8.3% (11 patients), with additional procedures including medialization laryngoplasty and injection augmentation.
  • The only factor associated with revision surgery was the time lapse from nerve injury to reinnervation. Overall complication rate was 6.8%.

Conclusions:

  • Unilateral, nonselective laryngeal reinnervation reliably improves vocal symptoms following recurrent laryngeal nerve injury.
  • The revision rate is favorable and comparable to framework surgery for vocal fold paralysis.