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Related Concept Videos

Larynx01:21

Larynx

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The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
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Oxygen Delivering System III: Tracheostomy and T-piece01:23

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Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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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.
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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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
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Chronic Pharyngitis01:23

Chronic Pharyngitis

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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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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
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Related Experiment Video

Updated: Jun 30, 2025

Learning Modern Laryngeal Surgery in a Dissection Laboratory
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[Implications of total laryngectomy].

M M Fockens1,2, Fennetta A van der Scheer1, Simone E J Eerenstein1

  • 1Amsterdam UMC, locatie VUmc, afd. Keel-, Neus-, Oorheelkunde en Hoofd-halschirurgie, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|March 21, 2024
PubMed
Summary

Total laryngectomy patients may face complications like airway obstruction and speech difficulties. Prompt recognition and management of tracheostoma issues and pharyngeal stenosis are crucial for recovery and quality of life.

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Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Speech Pathology

Context:

  • Total laryngectomy significantly alters airway and swallowing anatomy.
  • Post-surgical complications require specialized management.
  • Rehabilitation involves addressing respiratory, speech, and swallowing functions.

Purpose:

  • To present clinical cases of post-total laryngectomy complications.
  • To highlight the importance of recognizing airway and swallowing issues.
  • To illustrate successful interventions for common problems.

Summary:

  • Three patients experienced distinct post-total laryngectomy issues: tracheitis with tracheostoma narrowing, dyspnea from mucus plugs, and pharyngeal stenosis impacting speech and swallowing.
  • Management included addressing tracheostoma patency, airway clearance, and pharyngeal stenosis dilation.
  • Successful outcomes were achieved through targeted interventions.

Impact:

  • Emphasizes the critical role of the tracheostoma as the sole airway entrance.
  • Underscores the potential for effective speech rehabilitation using speech valves.
  • Provides insights into managing diverse complications following laryngectomy.