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Laryngotracheal stenosis is an umbrella term for a wide and heterogeneous group of very rare conditions. The population incidence of adult post-intubation laryngotracheal stenosis which is the commonest benign sub-type of this condition is approximately 1 in 200,000 adults per year. [10] The main causes of adult laryngotracheal stenosis are:
Tracheitis is an inflammation of the trachea. [1] Although the trachea is usually considered part of the lower respiratory tract, [2] in ICD-10 tracheitis is classified under "acute upper respiratory infections". [3]
More severe treatments include silicone stenting to prevent tracheal constriction, surgery to strengthen or attempt to rebuild the walls, continuous positive airway pressure [12] that has a machine blow small amounts of air into the trachea to keep it open (mainly at night), or a tracheostomy, [13] which is surgically inserted into the patient ...
Tracheomalacia is a condition or incident where the cartilage that keeps the airway (trachea) open is soft such that the trachea partly collapses especially during increased airflow. This condition is most commonly seen in infants and young children. [ 2 ]
Surgical airway management (bronchotomy [1] or laryngotomy) is the medical procedure ensuring an open airway between a patient’s lungs and the outside world. Surgical methods for airway management rely on making a surgical incision below the glottis in order to achieve direct access to the lower respiratory tract, bypassing the upper respiratory tract.
The most common tracheal injury is a tear near the carina or in the membranous wall of the trachea. [15] In blunt chest trauma, TBI occurs within 2.5 cm of the carina 40–80% of the time. [ 2 ] The injury is more common in the right main bronchus than the left, possibly because the former is near vertebrae , which may injure it. [ 2 ]
Spirometry is a useful way to measure respiratory function. People affected by subglottic stenosis have a FEV1 of over 10. [2] Subglottic stenosis is graded according to the Cotton-Myer classification system from one to four based on the severity of the blockage. Grade 1 is up to 50% obstruction, Grade 2 is 50-70% obstruction, Grade 3 is 70-99% ...
A 2013 systematic review (published cases from 1985 to April 2013) studied the complications and risk factors of percutaneous dilatational tracheostomy (PDT), identifying major causes of fatality to be hemorrhage (38.0%), airway complications (29.6%), tracheal perforation (15.5%), and pneumothorax (5.6%) [18] A similar systematic review in 2017 ...