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CO2 ENDOSCOPIC RESECTION TRACHEOPLASTY OF A-FRAME DEFORMITY

This video shows how we manage A-frame deformity in cases post tracheastomy or post laryngeal reconstruction.

Important steps of the procedure highlighted in the video.

Simple, fast, might avoid the definitive surgical management of A-frame deformity which is open laryngeotracheal reconstruction with anterior graft.
Symptomatic cases. Sleep apnea which not explained by other causes.
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Laryngoscopy with suspension. spontaneous breathing aided by side port insufflation. laser precautions.
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Advantages: Simple, fast, might avoid the definitive surgical management of A-frame deformity which is open laryngeotracheal reconstruction with anterior graft. Disadvantages: Granulation tissue formation. Loss of cartilaginous support.
Granulation tissue formation. laser fire
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Bergeron M, Qualls H, de Alarcon A, Rutter MJ. Management of A-Frame Tracheal Deformity in Children With Endoscopic Resection Tracheoplasty. Laryngoscope. 2021;131(3):E719-E723. doi:10.1002/lary.28953

Review CO2 ENDOSCOPIC RESECTION TRACHEOPLASTY OF A-FRAME DEFORMITY.

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