Submucous Cleft Palate Repair: Furlow Double-Opposing Z-Palatoplasty
32-month-old male with Coffin Siris syndrome, bilateral middle ear effusions, and velopharyngeal insufficiency who presents with a submucous cleft palate.
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Supraglottoplasty for Laryngomalacia (Cold Steel)
1. Purpose of Surgery: To alleviate upper airway obstruction secondary to laryngomalacia after failed medical management (twice daily proton pump inhbitor, reflux precautions). Indications for surgery are the following: failure to thrive, dysphagia, aspiration, cyanosis, sleep apnea, pulmonary hypertension, core pulmonale, pectus excavatum. Approximately 10% of children with laryngomalacia will meet criteria for surgery. 2. […]
Endoscopic Repair of Type 1 Posterior Laryngeal Cleft
1. Purpose of the Procedure: To repair a type 1 posterior laryngeal cleft that is resulting in feeding difficulty and aspiration which fails medical management. 2. Instruments: Parsons Laryngoscope, Lindholm vocal fold spreader (Karl Storz 8654B), Double armed 5.0 Vicryl 45 cm dyed suture on a tapered needle, Omniguide carbon dioxide laser (5 watts, pulsed […]
Revision Supraglottoplasty
1. Purpose of Surgery: To alleviate upper airway obstruction secondary to recurrent laryngomalacia after failed initial supraglottoplasty. Reasons for failing initial surgery can be a conservative initial supraglottoplasty or severe reflux with failure to comply with postoperative reflux protocol. Preoperative consultation is obtained with a pediatric gastroentrologist to perform a full gastrointestinal evaluation. 2. Instruments: […]
Heineke – Mikulicz Strictureplasty in Crohn’s Disease
This video shows the performance of a Heineke – Mikulicz Strictureplasty in the treatment of stricturing Crohn’s disease of the small bowel. DOI: http://dx.doi.org/10.17797/jj8ee1q3mr Editor Recruited By: Jeffrey B. Matthews, MD
Endoscopic Posterior Cricoid Split with Rib Grafting for Posterior Glottic Stenosis
Endoscopic posterior cricoid split with rib grafting can be used in children with Bilateral Vocal Fold Immobility due to bilateral vocal fold paralysis or cricoarytenoid joint fixation with posterior glottic stenosis. It is preferred to open laryngotracheal reconstruction because it does not disrupt the anteior cricoid ring therby preserving the “spring” of the cricoid. DOI#: http://dx.doi.org/10.17797/5w4hsqmgnq
Endoscopic Posterior Cricoid Split with Rib Grafting for Bilateral Vocal Fold Paralysis
Endoscopic posterior cricoid split with rib grafting can be used in children with bilateral vocal fold immobility due to bilateral vocal fold paralysis or cricoarytenoid joint fixation with posterior glottic stenosis. It is preferred to vocal cordotomy/arytenoidectomy because it is a non-destructive procedure with no impact on voice and swallowing. It is also preferred to […]
Gray Minithyrotomy
Contributors: Michael Lerner and Lucian Sulica Gray Minithyrotomy with fat implantation DOI: https://doi.org/10.17797/5p22fy2gkx
Endoscopic Excision of Nasolacrimal Duct Cyst
The patient is a 4 week old female infant with right sided epiphora and complete right sided nasal obstruction resulting in respiratory and feeding difficulty. Physical exam demonstrated a right medial canthal mass consistent with a dacrocystocele. Flexible fiberoptic nasal endoscopy demonstrated an anterior nasal mass below the inferior turbinate occluding the entire right nasal cavity consistent with a nasolacrimal cyst. The […]
Lingual Tonsillectomy with Epiglottopexy
Posterior displacement of the epiglottis secondary to lingual tonsil hypertrophy is a common cause for persistent obstructive obstructive sleep apnea after adenotonsillectomy in the pediatric population. By use of an operating micorscope an endoscpoic technique for lingual tonsillectomy and a epiglottopexy is described.