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Specific Diseases and Procedures
Published in Michele Barletta, Jane Quandt, Rachel Reed, Equine Anesthesia and Pain Management, 2023
Change in body position and intraoperative extubation: Have injectable drugs available to maintain anesthesia after the inhalant is discontinued when the endotracheal tube must be withdrawn for intralaryngeal surgery.If the horse has been in lateral recumbency for the surgery and must be turned to dorsal recumbency for a laryngotomy, maintain inhalation anesthesia until the surgeon is ready to make a laryngeal incision, briefly disconnecting the endotracheal tube from the circle circuit during repositioning.Check for a decrease in MAP after the horse is on its back.Deflate the cuff before moving the tube. Attach a 60-ml syringe to the pilot balloon, aspirate air from the cuff, and, leaving the syringe connected to the tube, then inject the same amount of air into the endotracheal cuff for reinflation.Reinsertion of the tube for recovery probably will require assistance from the surgeon to guide the tube into the trachea.
Remobilization of the Ankylotic Crico-Arytenoid Joint
Published in Waldemar L. Olszewski, CRC Handbook of Microsurgery, 2019
Our procedure in both the above-mentioned cases was as follows. A laryngotomy was performed. By means of a U-shaped incision (Figure 3A) the mucosa overlying the cricoid plate was detached and the latter exposed. Then both arytenoid cartilages were separated from the cricoid and, at the same time, from the surrounding connective and scar tissue at about 2 to 3 mm beyond the margin of the former articular surface of the arytenoid cartilage.
L
Published in Anton Sebastian, A Dictionary of the History of Medicine, 2018
Laryngotomy [Latin: larynx, upper part of wind pipe; Greek: tome, cutting] Mentioned but not practiced by Areteaus in the first century A detailed description has been left by Paul of Aegina in the 7th century
Retrospective analysis of 659 laryngeal squamous cell carcinoma patients treated with open laryngeal function-preserving operations
Published in Acta Oto-Laryngologica, 2018
Di Tang, Lei Tao, Liang Zhou, Ming Zhang, Haitao Wu, Xiaoming Li, Xiaoling Chen, Cai Li, Ming Xie, Lei Cheng
A total of 50 patients developed postoperative complications. Based on disease severity, treatment approach, such as endoscopic CO2 laser therapy, tracheotomy, median laryngotomy, or T-tube insertion, was performed in the 38 laryngeal stenosis patients. Of these cases, six succeeded in decannulation. Among the patients with wound infection, four cases who underwent surgical debridement and drainage and two cases who received local treatment and sensitive antibiotic therapy were cured. Bleeding was successfully stopped in three patients with haemorrhage after timely haemostasis surgery. Three cases of laryngeal fistula were relieved by laryngeal fistula excision and local repair surgery, local cleansing and intravenous antibiotics. One case of aspiration pneumonia recovered after therapy with antibiotics and nebulization.