A science guy from the deep south (Destin) and a humanities guy from the wild west (Matt Whitman) discuss deep questions with varying levels of maturity.
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QUAD #15: Managing A-Frame Deformities with Dr. Matt Smith
MP3•Laman utama episod
Manage episode 440391686 series 1142674
Kandungan disediakan oleh StayCurrent: Pediatric Surgery. Semua kandungan podcast termasuk episod, grafik dan perihalan podcast dimuat naik dan disediakan terus oleh StayCurrent: Pediatric Surgery atau rakan kongsi platform podcast mereka. Jika anda percaya seseorang menggunakan karya berhak cipta anda tanpa kebenaran anda, anda boleh mengikuti proses yang digariskan di sini https://ms.player.fm/legal.
In this video, we dive into the complexities of tracheal A-frame deformities, a common issue following airway surgeries like tracheostomies or reconstructions.
- What Are A-Frame Deformities? A tracheal deformity that typically occurs at the site of a previous tracheostomy, affecting about a third of patients with prior airway surgery.
- Challenges in Airway Sizing: Traditional endotracheal tube sizing is unreliable for A-frame deformities due to the oblong shape of the airway, making it crucial to assess both static and dynamic aspects of the deformity.
- Symptoms and Progression: Symptoms may take 1-2 years to manifest post-decannulation, often presenting as exercise intolerance, dyspnea, or obstructive sleep apnea.
- Surgical Interventions: Dr. Smith demonstrates two approaches for treating A-frame deformities—open repair with tracheoplasty or anterior graft placement, and endoscopic resection using a CO2 laser.
- Case Studies: Real-life examples of successful interventions, including a 6-year-old with campomelic dysplasia and a 12-year-old with subglottic and tracheal stenosis, highlighting the effectiveness of both open and endoscopic procedures.
354 episod
MP3•Laman utama episod
Manage episode 440391686 series 1142674
Kandungan disediakan oleh StayCurrent: Pediatric Surgery. Semua kandungan podcast termasuk episod, grafik dan perihalan podcast dimuat naik dan disediakan terus oleh StayCurrent: Pediatric Surgery atau rakan kongsi platform podcast mereka. Jika anda percaya seseorang menggunakan karya berhak cipta anda tanpa kebenaran anda, anda boleh mengikuti proses yang digariskan di sini https://ms.player.fm/legal.
In this video, we dive into the complexities of tracheal A-frame deformities, a common issue following airway surgeries like tracheostomies or reconstructions.
- What Are A-Frame Deformities? A tracheal deformity that typically occurs at the site of a previous tracheostomy, affecting about a third of patients with prior airway surgery.
- Challenges in Airway Sizing: Traditional endotracheal tube sizing is unreliable for A-frame deformities due to the oblong shape of the airway, making it crucial to assess both static and dynamic aspects of the deformity.
- Symptoms and Progression: Symptoms may take 1-2 years to manifest post-decannulation, often presenting as exercise intolerance, dyspnea, or obstructive sleep apnea.
- Surgical Interventions: Dr. Smith demonstrates two approaches for treating A-frame deformities—open repair with tracheoplasty or anterior graft placement, and endoscopic resection using a CO2 laser.
- Case Studies: Real-life examples of successful interventions, including a 6-year-old with campomelic dysplasia and a 12-year-old with subglottic and tracheal stenosis, highlighting the effectiveness of both open and endoscopic procedures.
354 episod
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