This case report is a retrospective review of a challenging though ultimately successful removal of an airway foreign body in a 2‐day‐old premature female born at 23 weeks and 4 days gestation. A segment of a 5‐F surfactant catheter was cut and accidentally dislodged in the distal airway within the lumen of the patient's endotracheal tube. Ultimately, visualization was obtained using a 1.6‐mm KARL STORZ sialoendoscope, and retrieval was performed using sialoendoscopy forceps passed via the working...
Wed Jun 26, 2019 17:53
Objectives/Hypothesis The free flap reconstructive protocols of the jaws have been refined over the years and presently are based on bone‐driven approaches that generally use the lower border of the mandible or the anterior surface of the maxilla as the templates for reconstruction because these contours are deemed important to the eventual cosmetic outcomes of patients. The ultimate goal of functional jaw reconstruction, however, is the reconstruction of the dental occlusion and oral rehabilitation....
Wed Jun 26, 2019 17:52
An Innovative Approach to Airway Foreign Body Management in an Extremely Premature Neonate Wed Jun 26, 2019 17:53
by Sarah E. Hodge, Lauren Kilpatrick, Carlton Zdanski via The Laryngoscope
This case report is a retrospective review of a challenging though ultimately successful removal of an airway foreign body in a 2‐day‐old premature female born at 23 weeks and 4 days gestation. A segment of a 5‐F surfactant catheter was cut and accidentally dislodged in the distal airway within the lumen of the patient's endotracheal tube. Ultimately, visualization was obtained using a 1.6‐mm KARL STORZ sialoendoscope, and retrieval was performed using sialoendoscopy forceps passed via the working channel of the sialoendoscope while maintaining ventilation. This case represents an innovative approach to complex airway foreign body management utilizing sialoendoscopy instruments. Laryngoscope, 2019
The Alberta Reconstructive Technique: An Occlusion‐Driven and Digitally Based Jaw Reconstruction Wed Jun 26, 2019 17:52
by Hadi Seikaly, Sherif Idris, Richelle Chuka, Caroline Jeffrey, Agnieszka Dzioba, Fawaz Makki, Heather Logan, Daniel A. O'Connell, Jeffrey Harris, Kal Ansari, Vincent Biron, David Cote, Martin Osswald, Suresh Nayar, John Wolfaardt via The Laryngoscope
Objectives/Hypothesis
The free flap reconstructive protocols of the jaws have been refined over the years and presently are based on bone‐driven approaches that generally use the lower border of the mandible or the anterior surface of the maxilla as the templates for reconstruction because these contours are deemed important to the eventual cosmetic outcomes of patients. The ultimate goal of functional jaw reconstruction, however, is the reconstruction of the dental occlusion and oral rehabilitation. The purpose of the present study was to evaluate the Alberta reconstructive technique (ART), which is a new approach of occlusion‐driven jaw reconstruction with digitally planned immediate osseointegrated implant installation.
Study Design
Prospective cohort study.
Methods
This research study considers the ART's safety, effectiveness, accuracy, timeliness of reconstruction, aesthetic appeal, and cost‐effectiveness in comparison with the standard bone‐driven and delayed osseointegrated implant installation (BDD) protocol.
Results
The ART procedures were as safe and more effective at achieving full occlusal reconstruction and oral rehabilitation. The ART cohort of patients achieved oral rehabilitation in 21.4 month as compared to 73.1 months for the BDD cohort. There were no differences in the aesthetic appeal the two groups. The ART cost an average of $22,004 less than BDD and we calculated the quality adjusted life years gain to be between 2.14 and 4.04 in favour of ART.
Conclusions
The ART is a good option for patients with jaw defects. It provides a safe, effective, accurate, aesthetic, and cost‐effective reconstruction that restores form and function in a timely manner.
Level of Evidence
2b Laryngoscope, 2019
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