By E. J. Propst, Y. Tirado et al.
Otolaryngology head and neck surgeons, normal surgeons, and thoracic surgeons are required to understand easy methods to practice quite a few varieties of open airway surgical procedure. despite the fact that, because of a reduce within the variety of sufferers with subglottic or tracheal stenosis and resident paintings hour regulations, publicity to those situations in the course of education is frequently insufficient. accordingly, there's an ever-increasing desire for education courses to strengthen real looking open airway simulation versions. those in flip will advertise competency-based surgical residency education and a force towards carrying on with scientific schooling and upkeep of certification.
Written via a global workforce of airway surgeons, Airway Reconstruction Surgical Dissection Manual is a vital advisor for citizens and fellows within the fields of otolaryngology head and neck surgical procedure, common surgical procedure, and thoracic surgical procedure, in addition to advisor surgeons in those specialties who're answerable for handling airway stipulations, yet now and again practice open airway surgical procedures.
This guide covers every little thing the trainee calls for for getting to know open airway surgeries on a stay animal and extrapolating those strategies to human sufferers. it truly is commonly specified for the newbie or for the skilled general practitioner perfecting his or her procedure, and will be utilized by the person operating at his or her personal speed or in a gaggle surroundings.
There are a number of key good points to this text:
- Complex initiatives are damaged into rudimentary steps to allow them to be mastered by way of trainees at any level
- High caliber images and diagrams of every surgical step show info in actual fact and succinctly
- Procedural changes among animals and people are in actual fact pointed out for simple and useful software to human patients
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Additional resources for Airway Reconstruction Surgical Dissection Manual, 1st Edition
The angle of dissection makes it difficult to elevate the perichondrium off the entire rib. Attempting to do this may cause you to inadvertently puncture through the perichondrium and cause a pneumothorax. For this reason, the superior half of the posterior perichondrium is elevated off the rib through a separate superior incision. key pointS Elevate posterior perichondrium from inferiorly Skin hook Rib Perichondrium Freer elevator Airway Reconstruction Surgical Dissection Manual 45 7 Harvest of Costal Cartilage Graft Step 7 Stand on the right side of the pig at the head of the bed and face its feet.
Place the handle of a scalpel medial to the thyroid cartilage to protect the posterior perichondrium from injury. Cut along the marked semicircle while you are pressing onto the scalpel handle with your scalpel blade. 5 Cuffed endotracheal tube (1) • Gloves (2 pairs) 34 sharps • Strip of material (30 cm) • 16- or 18-Gauge angiocatheter (1) • Absorbent pad (1) • 25-Gauge Butterfly needle (1) • Rope (180 cm) • 2-0 Silk suture (7) • Marking pen (1) • 3-0 Polyglactin (Vicryl) suture on RB-1 tapered needle (3) • Ruler (1) • 4-0 or 5-0 Polydioxanone (PDS) OR Polypropylene (Prolene) suture on RB-1 tapered needle (8) • Penrose drain (1) • Green towel (4) • 4-0 Poliglecaprone (Monocryl) suture on P-3 reverse cutting needle (1) optional • #15 blade (1) • None Airway Reconstruction Surgical Dissection Manual Anterior Laryngotracheoplasty Using Thyroid Ala Cartilage Graft (Single Stage) Follow the steps outlined in “Exposure and Anatomy of the Pig Airway: Comparison with the Human Airway,” “Anterior Cricoid Split,” and “Harvest of Thyroid Ala Cartilage Graft” prior to performing this procedure.
5 Cuffed endotracheal tube (1) • Gloves (2 pairs) 34 sharps • Strip of material (30 cm) • 16- or 18-Gauge angiocatheter (1) • Absorbent pad (1) • 25-Gauge Butterfly needle (1) • Rope (180 cm) • 2-0 Silk suture (7) • Marking pen (1) • 3-0 Polyglactin (Vicryl) suture on RB-1 tapered needle (3) • Ruler (1) • 4-0 or 5-0 Polydioxanone (PDS) OR Polypropylene (Prolene) suture on RB-1 tapered needle (8) • Penrose drain (1) • Green towel (4) • 4-0 Poliglecaprone (Monocryl) suture on P-3 reverse cutting needle (1) optional • #15 blade (1) • None Airway Reconstruction Surgical Dissection Manual Anterior Laryngotracheoplasty Using Thyroid Ala Cartilage Graft (Single Stage) Follow the steps outlined in “Exposure and Anatomy of the Pig Airway: Comparison with the Human Airway,” “Anterior Cricoid Split,” and “Harvest of Thyroid Ala Cartilage Graft” prior to performing this procedure.