Radiologic Evaluation of Larynx Cancer
The authors present the value of imaging for preoperative evaluation of structures that are not assessed or incompletely assessed on physical and endoscopic examination. Discussed are CT, MRI, and positron…
OTOLARYNGOLOGY
Laryngeal Cancer: Diagnosis and Preoperative Work-up
Laryngeal carcinoma is the eleventh-most common form of cancer among men worldwide and is the second-most common malignancy of the head and neck. The primary functions of the larynx involve…
The Molecular Genetics of Laryngeal Cancer
The authors present the clinical relevance of molecular genetics to laryngeal cancer in terms of helping to develop novel diagnostic, prognostic, and therapeutic strategies. They discuss how molecular diagnostics can…
Cricotracheal Resection
A surgeon facing the problem of a child with subglottic stenosis currently has a wide range of surgical options. Cricotracheal resection is the preferred option for grade IV and severe…
Sedation and Analgesia in the Pediatric Intensive Care Unit Following Laryngotracheal Reconstruction
Deep levels of sedation and analgesia are needed in the majority of children who require prolonged tracheal intubation after laryngotracheal reconstruction (LTR). Drug doses may be determined most appropriately using…
Robotic Surgical Technique for Pediatric Laryngotracheal Reconstruction
The attributes of robotic technology—steady, precise movements and untiring action in difficult positions and confined spaces—are well suited to surgical procedures that benefit from these qualities. Ironically, the introduction of…
Pediatric Tracheal Stenosis
Tracheal stenosis is a rare, potentially life-threatening condition described as innate narrowing of the tracheal lumen. The causes of tracheal stenosis vary widely. The most common forms result from prolonged…
Revision Pediatric Laryngotracheal Reconstruction
Surgeons who make airway reconstruction a major part of their practice inevitably are faced with children in whom initial surgical management fails. Searching for the possible causes of failure and…
Minimally Invasive Techniques in Laryngotracheal Reconstruction
The treatment of laryngotracheal stenosis has evolved over the past several decades. Advances in technology, equipment and medication have increased our ability to treat some airway stenosis in a minimally…
Single-Stage and Multistage Pediatric Laryngotracheal Reconstruction
Acquired pediatric laryngotracheal stenosis almost always results from prolonged intubation for prematurity. An understanding of the process by which this occurs helps in prevention and treatment. Before deciding to perform…
