Objectives/Hypothesis The fibrotic/erythematous appearance of the subglottis in idiopathic subglottic stenosis (iSGS) hints that it might respond to repeated intralesional steroid treatment similar keloids. Study Design Retrospective cohort study. Methods Thirteen iSGS subjects (six treated in‐office with serial injections [SILSI] versus seven endoscopically operating room [OR] followed by awake SILSI) between October 2011 and April 2017. Forced spirometry was performed before at each...

Inducible laryngeal obstruction, an induced, inappropriate narrowing of the larynx, leading to symptomatic upper airway can coexist with asthma. Accurate classification has been challenging because overlapping symptoms and absence sensitive diagnostic criteria for either condition.To evaluate patients concomitant clinical suspicion inducible obstruction We used a multidisciplinary protocol incorporating objective determine whether asthma, both, or neither diagnosis was present.Consecutive...

Objective Laryngopharyngeal reflux (LPR) is defined as the retropulsion of gastric contents into larynx, oropharynx, and/or nasopharynx. The 24‐hour combined hypopharyngeal‐esophageal multichannel intraluminal impedance with dual pH probe (24h‐HEMII‐pH) currently gold standard in LPR diagnosis; however, it invasive, user dependent, and not always tolerated. This study assesses diagnostic utility salivary pepsin (Peptest) at different thresholds during symptomatic periods compared...

Abstract Objective To determine whether exposing junior doctors to Situation, Background, Assessment, Recommendation (SBAR) improves their telephone referrals. SBAR is a standardised minimum information communication tool. Methods A randomised controlled trial with participants and rating clinicians both blinded group allocation. Hospital interns from 2-year period (2006–2007) participated in two simulated clinical scenarios which required them make The intervention was educated between...

Design and validate a laryngeal surgical simulator to teach phonomicrosurgical techniques.Device development prospective validation.Tertiary medical center.A novel fixation device custom laryngoscope were produced for use with ex vivo porcine larynx specimens. Vocal fold lesions such as nodules keratotic simulated silicone injections epithelial markings. A validation using postsimulation surveys, global rating scales, procedure-specific checklists was performed group of 15 students,...

Objectives Idiopathic subglottic stenosis (ISGS) can have significant impacts on quality of life (QOL), but it remains unclear how patients’ subjective responses correlate with objective measurement disease severity. Peak expiratory flow percentage (PEF%) has been shown to be an effective measure severity in stenosis. This study aims identify the key QOL questions correlated PEF% and proposes a statistical model for prediction Methods Patients ISGS presenting academic laryngologist were...

ABSTRACT Introduction Isolated limb infusion (ILI) is a minimally invasive alternative to isolated perfusion (ILP) for delivering high‐dose regional chemotherapy treat locally advanced melanoma. The current study aimed evaluate the applicability of ILI in four Australian tertiary referral centers outside its originating institution, Sydney Melanoma Unit (SMU; currently known as Institute Australia). Methods Data 131 patients, treated between 1992 and 2008 were collectively analyzed....

Objectives/Hypothesis Serial intralesional steroid injection (SILSI) has recently been proposed as an effective scar‐modifying therapy for subglottic stenosis (SGS). We aimed to explore the systemic absorption of following SILSI and characterize magnitude chronicity any effect observed. Specifically, we show that resolves prior next injection. Study Design Prospective, observational pilot study. Methods Patients were injected intralesionally with 40 200 mg triamcinolone. Serum cortisol, well...

Laryngeal cryptococcosis is a rare clinical entity. There have been limited number of case reports in the literature with no consensus regarding optimal management. This review contributes two additional immunocompetent patients cryptococcal infection larynx whom exposure to high doses inhaled corticosteroids proposed as significant risk factor. Twenty cases were identified from literature. All presented hoarseness and spectrum microlaryngoscopic features, often mimicking laryngeal...

Managing the shared airway in subglottic stenosis presents a unique challenge. Tubeless anesthesia with apneic oxygenation is increasingly being adopted as it overcomes limitations of access to and visualization narrowed subglottis. Low-flow (LFO) transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) are two delivery techniques. We sought compare their utility this patient cohort.Retrospective cohort study.Thirty-five cases endoscopic debridement were retrospectively...

To determine the diagnostic yield of computed tomography (CT) in establishing an etiology patients with idiopathic unilateral vocal fold paresis (IUVFP). proportion CT scans yielding incidental findings requiring further patient management.Case series chart review.Tertiary laryngology practice.Laryngology clinic under care 2 senior authors.All were identified who had a diagnosis IUVFP and underwent skull base to upper mediastinum from 2004 2014. Demographic, historical, examination,...

In recent years, it has become increasingly apparent that the laryngotracheal stenosis (LTS) cohort comprises distinct etiological subgroups; however, treatment of disease remains heterogeneous with limited research to date assessing predictors outcome. We aim assess clinical and surgical endoscopic outcome for LTS, as well further characterize population. A retrospective chart review adult patients LTS presenting over a 16-year period was conducted. Seventy-five were identified subdivided...

Abstract Introduction: Early glottic cancer may be treated with primary radiotherapy or transoral laser microsurgery comparable survival. The choice of therapy therefore depends on patient preference after discussion risks, benefits and alternatives. Materials methods: All previously untreated patients undergoing for T 1 2 at St Vincent's Hospital between July 1997 December 2004 had their staging demographics recorded. Surgery was categorised according to the European Laryngological Society....

studies suggesting additional motor contributions from the internal branch of SLN. 6The LCA muscle is a strong adductor vocal folds.All laryngeal functions requiring glottic closure such as phonation, coughing, straining, and Valsalva's maneuver require contraction muscle.Likewise, PCA primary abductor folds, with inspiratory fold abduction being most important function this muscle. 7The IA comprised three muscles, transverse arytenoid two oblique muscles. 1 It theorized that may assist in...

Maternal immunisation is an essential public health intervention aimed at improving the outcomes for pregnant women and providing protection to newborn. Despite international recommendations, safety efficacy data intervention, often a fully funded program, uptake of vaccines in pregnancy remain suboptimal. One possible explanation this includes limited access vaccination services point antenatal care. The aim study evaluate change vaccine coverage among following implementation modified...

A total laryngectomy (TL) is performed as a primary or salvage therapy for laryngeal carcinoma. Pharyngotomy closure after TL typically using manual sutures. Automatic stapling devices are routinely used in thoracoabdominal surgery, but have not been widely accepted use pharyngotomy closure. Previously described closed techniques of pharyngeal do allow direct evaluation surgical margins and limited to endolaryngeal disease. We describe an open technique mechanical device.Retrospective...

Background: Tracheobronchial foreign body aspiration (TFBA) is common in young children and associated with potentially significant morbidity, sometimes mortality. Although rigid bronchoscopy (RB) often needed for definitive diagnosis, it can be intra-operative long-term risks. Methods: Hospital records of patients under 18 years age who underwent RB suspected TFBA between November 2010 May 2016 were retrospectively reviewed. Data extracted include age, gender date TFBA. Specific...

Objective Type III sulcus is a pathologic structural deformity of the vocal folds that challenging to accurately diagnose without endoscopic examination under anesthesia. This study aims further define clinical presentation and features shared among patient cohort intraoperatively diagnosed with type sulcus. Study Design Case series chart review. Setting Tertiary laryngology practice. Subjects Methods All patients from 2002 2014 at tertiary practice were included. Clinical history presenting...

Purpose: With two-thirds of adults presenting for a videofluoroscopy swallow study (VFSS) with oesophageal abnormalities, it seems prudent to include visualisation the oesophagus, in context entire process, provide further information diagnostic team. This aims evaluate ability speech-language pathologists (SLPs) interpret sweep on VFSS and relative improvement that additional training.Method: One hundred SLPs attended training during VFSS, based previous study. Ten videos (five normal, five...