8/15/2013

8/15/2013

Answers:

The operation of choice to treat children with laryngomalacia that require surgical intervention is?
A) Balloon Laryngoplasty 
B) Anterior Cricoid Split 
C)Tracheotomy 
D) Supraglottoplasty

Supgraglottoplasty is the primary procedure used for children who require surgical intervention for laryngomalacia.

Cricotracheal resection used to be used only for patients who failed laryngotracheal reconstruction with grafting, however, currently is is being used as first line treatment in what group?

Those with severe (>70%) luminal obstruction.

MC Question:

---is an intraop complication, --- is early postop complication and --- is a late postop complication of airway reconstruction surgery.
A) Pneumomediastinum, vocal cord paralysis, ETT dislodgement B) Tracheocutaneus fistula, alar necrosis, granulation tissue formation 
C) ETT dislodgement, restensosis, pneumothorax 
D) Pneumothorax, pneumothorax, Subcutaneous emphysema 
E) Vocal Cord Paralysis, Atelectasis, Inability to decannulate

Free Response Question:
When performing supraglottoplasty for laryngomalacia, the three most common techniques include removing redundant---, releasing foreshortened --- and shaving down ---.

Quick Facts:
Prognosis with Regards to Airway reconstruction
-Dependent on initial severity of lesion, comorbidities and surgeon skill.
-Usually decannulation occurs in 80-90% of pts but often requires multiple procedures.