Tracheoesophageal Prosthesis (TEP Speech)

Total laryngectomy is a surgical procedure, most commonly done in cancers of the larynx (voice box). In this procedure, the entire voice box is taken off and a permanent hole (tracheostomy/stoma) is created in the neck, through which the patient respires for his entire life. The indications, contraindications, surgical steps of laryngectomy are discussed separately […]

Laryngeal Exposure (Opening) Scores

Direct laryngoscopy is a routine procedure conducted to expose the larynx (voice box), to access and treat disorders causing voice dysfunction. Usually, the laryngoscope is placed through the mouth and the larynx is exposed under general anesthesia without difficulty. Laryngeal surgeries with help of an operating microscope (Microlaryngoscopy / MLS) is then conducted to remove […]

Progressive loss of voice in a 2 year old female child

2 year old female child presented with complaints of progressive loss of voice for past 6 months. She had no history to suggestive voice abuse, foreign body inhalation, cough or catarrh. She had worsening difficulty in breathing with fast breathing, but no cyanosis, orthopnea or leg swelling. There was no complaints of feeding difficulty, fever or chronic […]

Laryngomalacia – clinical features, surgical and medical management

Laryngomalacia also called as “discoordinate pharyngo-laryngomalacia” is the most common congenital lesion of larynx (60-70%) and is the most common cause of congenital stridor in neonates and infants. The condition is characterized by partial or complete obstruction of supraglottic laryngeal structures on inspiration because of excess mucosa, abnormal and/or reduced laryngeal tone. The term laryngomalacia […]

Replacement of trachea with aortic grafts – a novel treatment for tracheal stenosis

Replacement of trachea after extensive resection still remains as a major challenge for the thoracic surgeons even after decades of intensive research. End to end anastomosis is difficult or almost not possible, when more than 5-6 cm of trachea is resected out. Several clinical solutions with skin, esophagus and bowel etc. have been proposed to tackle […]