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1.

What are different types of incisions used in tracheostomies. Is one better than the others?

Reference(s):

Au, J. K., Heineman, T. E., Schmalbach, C. E., & St John, M. A. (2017). Should adult surgical tracheostomies include a Bjork flap? The Laryngoscope, 127(3), 535–536.

2.

When should you do an open versus percutaneous tracheostomy?

Reference(s):

Kettunen, W. W., Helmer, S. D., & Haan, J. M. (2014). Incidence of overall complications and symptomatic tracheal stenosis is equivalent following open and percutaneous tracheostomy in the trauma patient. American Journal of Surgery, 208(5), 770–774.

3.

Refresh our memory on PFT’s and flow volume loops.

Reference(s):

Kraft, S. M., Sykes, K., Palmer, A., & Schindler, J. (2015). Using pulmonary function data to assess outcomes in the endoscopic management of  subglottic stenosis. The Annals of Otology, Rhinology, and Laryngology, 124(2), 137–142.

4.

Discuss the etiology of adult laryngotracheal stenosis?

Reference(s):

Gelbard, A., Francis, D. O., Sandulache, V. C., Simmons, J. C., Donovan, D. T., & Ongkasuwan, J. (2015). Causes and consequences of adult laryngotracheal stenosis. The Laryngoscope, 125(5), 1137–1143.

5.

Discuss options for the management of tracheal stenosis including pros and cons of endoscopic versus open surgery?

Reference(s):

Yamamoto, K., Kojima, F., Tomiyama, K., Nakamura, T., & Hayashino, Y. (2011). Meta-analysis of therapeutic procedures for acquired subglottic stenosis in adults. The Annals of Thoracic Surgery, 91(6), 1747–1753.

6.

What is the role of mitomycin C in tracheal stenosis.

Reference(s):

Whited, C. W., & Dailey, S. H. (2015). Is mitomycin C useful as an adjuvant therapy in endoscopic treatment of laryngotracheal stenosis? The Laryngoscope, 125(10), 2243–2244.

7.

Why do tracheoinnominate artery fistulas occur and what should you do when you suspect it?