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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.
None.
Laryngoscopy with suspension.
spontaneous breathing aided by side port insufflation.
laser precautions.
None
N/A
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
None
None
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
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Review CO2 ENDOSCOPIC RESECTION TRACHEOPLASTY OF A-FRAME DEFORMITY.