Sub glottic stenosis is very disabling condition . Patient presents with breathlessness ,loss of voice, in case of complete stenosis patient may need permanent tracheotomy to live. This is a story of young boy aged 12 years ,4 years back he suffered road side accident resulting loss of speech and permanent tracheostomy. When the patient come fiberoptic bronchoscopy was done to ascertain level of level of block. CT scan was done to visualise the anatomy. patient was taken up for surgery and planned for excision of stenosis and lyrngeotraceeal reconstruction. Flap raising intense fibrosis Thyrotomy done and site of anastomosis exposed Proximal end of anastomosis Distal end of anastomosis Two ends separated Posterior wall sutures taken over ET tube closed with Sternocleidomastoid muscle over it. Sternocleidomastoid muscle flap strap muscle closed 7 day post op video showing ability of boy speak ...
Comments
Post a Comment