Revisiting Fire Safety Guidelines in CO Laser Airway Surgery.

Introduction: The potential for airway fire during endoscopic laser surgery is well known, typically addressed by reducing FiO levels. This study revisits these established practices in CO laser tubeless airway surgery.

Materials And Methods: Using a cadaveric porcine larynx and lung model, we conducted trials with high-flow (HFV) and jet ventilation.

Validation of an Endoscopic Landmark for Injection of Internal Branch of Superior Laryngeal Nerve.

Objective: This study aims to validate a novel transnasal endoscopic approach for accurately targeting the internal branch of the superior laryngeal nerve (iSLN) via the piriform sinus, with the goal of improving treatment outcomes for laryngeal sensory dysfunction (LSD).

Methods: Eight cadaveric larynges were examined using a 3D-printed cadaveric laryngeal model. The superolateral quadrant of the piriform sinus was endoscopically marked with toluidine blue ink.

Surgical Management of Idiopathic Subglottic Stenosis During Pregnancy: A Multi-Institutional Study.

Background: Managing idiopathic subglottic stenosis (iSGS) during pregnancy presents distinct clinical challenges. As pregnancy is a naturally dyspneic state, the development of iSGS may exacerbate respiratory symptoms and compromise the airway-potentially impacting pregnancy and delivery decisions. This study characterizes surgical management strategies and outcomes in pregnant patients with symptomatic iSGS.

Redefining Safe Practices in Airway TruBlue Laser Surgery-A Systematic Evaluation.

Objectives: Fire risk during laser airway surgery is well-documented, but there is limited information regarding this risk with the novel TruBlue laser. This study evaluates its safety under different experimental conditions.

Methods: Using a cadaveric porcine larynx and lungs model, we conducted trials with laser-safe endotracheal tubes (LSETTs), high-flow ventilation (HFV), and jet ventilation.

Internal Superior Laryngeal Nerve Injections Through the Piriform Sinus for Laryngeal Neurosensory Disturbances: A Prospective Analysis.

Objective: Internal superior laryngeal nerve (iSLN) injections demonstrate short term improvements in patients with laryngeal neurosensory disturbances (ie, chronic refractory cough and globus pharyngeus) that can require multiple injections. A more targeted iSLN injection approach could provide greater effectiveness. This study prospectively evaluated whether transnasal endoscopic iSLN injections that target the internal iSLN as it transverses the piriform sinuses was effective at treating laryngeal neurosensory disturbances.

Characterizing Disease Severity Through Surgical Recurrence Rates in Idiopathic Subglottic Stenosis.

Objective: There is currently not a marker of disease severity in idiopathic subglottic stenosis (iSGS). Our objective was to characterize iSGS patients' disease severity using endoscopic surgery rates.

Methods: This was a two-center retrospective analysis of iSGS patients with a minimum of 4 years of follow up following an initial endoscopic procedure (laser wedge excision (LWE) or endoscopic dilation (ED)).

Lasers in Office-Based Laryngology.

The use of lasers for the treatment of benign and premalignant pathology in the awake patient is well established. With appropriate safety precautions, patient selection, and preparation, many patients can benefit from this procedure. This technique is typically associated with lower cost and decreased anesthetic risk without delaying care.

Surgical Recurrence Across Endoscopic Surgical Techniques in Idiopathic Subglottic Stenosis.

Objective: While endoscopic laser wedge excision (LWE) for iSGS demonstrated lower surgical recurrence rates compared to endoscopic dilation (ED), ED remains the primary technique employed. Additionally, serial intralesional steroid injections (SILSIs) also demonstrate benefits in controlling disease. We aimed to compare surgical recurrence rates following ED, ED + SILSI, and LWE following a patient's first operation.

Pregnancy and Parity as Risk Factors for Recurrence in Idiopathic Subglottic Stenosis.

Objective: This study aims to evaluate the impact of parity on the severity and recurrence rates of idiopathic subglottic stenosis (iSGS) in premenopausal females.

Study Design: A retrospective cohort study.

Setting: Two tertiary care centers from 2002 to 2024.

Bilateral internal superior laryngeal nerve injections for unexplained chronic cough.

Objective: Internal Superior laryngeal nerve (iSLN) injections with steroids and anesthetic for Unexplained Chronic Cough (UCC) was initially described as a unilateral injection. This study reports the safety profile and patient-reported outcomes of concurrent bilateral iSLN injections for UCC.

Study Design: Retrospective chart review.

Does the TruBlue Laser Set Microlaryngoscopy Equipment on Fire? A Systematic Evaluation.

Introduction: The risk of fire during laser microlaryngoscopy is well known. However, limited information is available about fire risk with the novel TruBlue laser. This study systematically evaluates its interactions with common surgical supplies, offering valuable insights into safety considerations for surgeons.

Photoangiolysis with the 445-nm Blue Laser and the Potassium-Titanyl-Phosphate Laser: A Comparison.

Objectives: Photoangiolytic lasers have yielded significant innovation in laryngeal surgery in the last 25 years. After the discontinuation of the potassium titanyl phosphate (KTP) laser, a novel 445-nm blue laser was developed. The optimal balance between a laser's desired tissue effects and collateral tissue damage is a major determinant of laser selection in microlaryngeal surgery.

Xiang-Sheng-PoDi-Wan May Reduce the Risk of Pneumonia retain-->in Unilateral Vocal Fold Paralysis: A Nationwide Population-Based Cohort Study.

Background: Pneumonia is a serious complication in patients with unilateral vocal fold paralysis (UVFP). Traditional Chinese medicine Xiang-Sheng-PoDi-Wan plays a role in promoting health and may reduce pneumonia rates in those with UVFP. The study aimed to evaluate Xiang-Sheng-PoDi-Wan treatment's effectiveness in preventing pneumonia hospitalization in patients with UVFP.

Voice Outcomes Following Serial Office-Based Steroid Injections and Voice Therapy for Vocal Fold Scar.

Objective: Previous studies indicate that certain voice outcomes can improve following a single office-based steroid injection with voice therapy for vocal fold scar. We evaluated voice outcomes after a series of three timed office-based steroid injections with voice therapy.

Study Design: Retrospective case series with chart review.

Comparative Treatment Outcomes for Idiopathic Subglottic Stenosis: 5-Year Update.

The North American Airway Collaborative (NoAAC) previously published a 3-year multi-institutional prospective cohort study showing variation in treatment effectiveness between 3 primary surgical techniques for idiopathic subglottic stenosis (iSGS). In this report, we update these findings to include 5 years of data evaluating treatment effectiveness. Patients in the NoAAC cohort were re-enrolled for 2 additional years and followed using the prespecified published protocol.

Long-Term Follow-up of 64 Patients With Idiopathic Subglottic Stenosis: Treatment Pathways, Outcomes, and Impact of Serial Intralesional Steroid Injections.

Objective: To describe treatment pathways and long-term outcomes in 64 patients with idiopathic subglottic stenosis (iSGS), including the impact of serial intralesional steroid injection (SILSI) on degree of stenosis, need for subsequent operation, and patient-reported outcome measures.

Methods: Retrospective review of 64 female patients with iSGS undergoing varied management approaches, 57 of whom underwent SILSI as at least part of their care. Treatment pathways included SILSI only, endoscopic intervention followed by SILSI only, endoscopic interventions only, endoscopic intervention followed by SILSI followed by need for repeat endoscopic intervention, open surgery, and tracheotomy.

Role of Voice Therapy in Adherence to Voice Rest After Office-Based Vocal Fold Procedures.

Purpose Patients undergoing vocal fold procedures significantly reduce but often do not cease voice use during absolute postprocedure voice rest. We hypothesized that patients who completed preprocedure voice therapy would increase adherence to postprocedure voice rest. Method Eighty-six participants completed this prospective cohort study.

Iatrogenic Vocal Fold Paralysis: A Population-Based Cohort Study in Taiwan.

Objective: Iatrogenic vocal fold paralysis is an important issue in laryngology, yet there are few population-based studies regarding the epidemiology. This study used a nationwide population-based claims database (the National Health Insurance Research Database) to investigate the epidemiology of iatrogenic unilateral and bilateral vocal fold paralysis (UVFP/BVFP) among the general adult population in Taiwan.

Method: This study analyzed patients (20-90 years old) who underwent thyroid, parathyroid, thoracic, cardiac, or anterior cervical spine operations with vocal fold paralysis among adults in Taiwan from January 1, 2007 to December 31, 2013.

Pre-tracheotomy for Potentially Emergent Airway Scenarios: Indications and Outcomes.

Objectives/hypothesis: Airway access in the setting of unsuccessful ventilation and intubation typically involves emergent cricothyrotomy or tracheotomy, procedures with associated significant risk. The potential for such emergent scenarios can often be predicted based on patient and disease factors. Planned tracheotomy can be performed in these cases but is not without its own risks.

Association of Social Determinants of Health with Time to Diagnosis and Treatment Outcomes in Idiopathic Subglottic Stenosis.

Objectives: To examine whether social determinants of health (SDH) factors are associated with time to diagnosis, treatment selection, and time to recurrent surgical intervention in idiopathic subglottic stenosis (iSGS) patients.

Methods: Adult patients with diagnosed iSGS were recruited prospectively (2015-2017) via clinical providers as part of the North American Airway Collaborative (NoAAC) and via an online iSGS support community on Facebook. Patient-specific SDH factors included highest educational attainment (self-reported), median household income (matched from home zip code via U.

Pain Experience and Tolerance of Awake In-Office Upper Airway Procedures: Influencing Factors.

Objectives/hypothesis: Awake, unsedated in-office upper airway procedures are performed frequently and have high completion rates, yet less is known about the patients' pain experience and potentially influencing factors. It is also unclear if patients' pain experiences become worse with repeated procedures. We identified procedure- and patient-related factors that might influence procedural completion and pain scores.