Otolaryngologic clinics of North America
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Otolaryngol. Clin. North Am. · Aug 1981
Historical ArticleAnesthesia in otolaryngology: historical overview.
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The physician who is called upon to evaluate stridor in the newborn must be familiar with common congenital lesions of the larynx. Congenital stridor is a symptom of an underlying problem that must be accurately diagnosed to be properly and effectively managed. This requires a complete history and physical examination to discover the type of stridor and its association with feeding difficulties or cyanosis. ⋯ Radiologic examinations are of great value in providing additional information concerning laryngeal anomalies. The mainstay of diagnosis is endoscopic examination. Familiarity with these anomalies, their symptoms, diagnostic methods, and treatment will provide for better care of the pediatric patient with stridor.
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Otolaryngol. Clin. North Am. · Nov 1979
Case ReportsTracheal stenosis: conservative surgery as a primary mode of management.
Tracheal and laryngeal stenosis has become increasingly common following prolonged intubation or tracheostomy for mechanical ventilation and is directly related to trauma. Tracheal resection up to 4 to 5 cm. with an end to end anastomosis is the generally accepted treatment. However, tracheal resection carries the danger of mortality and considerable morbidity. ⋯ No mortality or serious complications resulted from this treatment. Our experience indicates that patients with tracheal and laryngeal stenosis should undergo a primarily conservative surgical management. This technique appears worthy of trial prior to contemplating a more extensive procedure.