Name : Divya Sethi
Category : Postgraduate student
This ePoster has been submitted as an academic activity towards the Dr BM Abrol ePoster Award in the Category of Post Graduate Student for Laryngology Summit 2021. Please feel free to comment using the discussion box below.
Please click on poster for a larger image
A good case study in ENT.
Thank you Sir
Excellent presentation
Thank you Sir
Excellent work
Good presentation Dr Divya and good outcome so far. So can you tell me for how long do you follow up these cases? What are the chances of restenosis in these cases?
Thank you Sir. Post Total Laryngectomy and radiotherapy, there is a chance of tracheostomal stenosis and restenosis due to excessive scar tissue formation, keloid formation, fistula or recurrent infections. In the existing literature, there is no fixed incidence of restenosis and such patients require lifelong follow up.
Informational indeed!
Thank you
Any recurrence on follow up ma’am?
Is the patient relieved of respiratory distress?
Sir, till the present follow up(3 months post op), there is no recurrence of stenosis. Patient is relieved of respiratory distress.
Good case study
Thank you sir
Interesting case. Good work
Thank you
Good work Dr Divya, can you ennumerate the types of tracheal stenosis?
Thank you. Montgomery ‘s classification grouped the most frequent types of stenosis into 3 classes- vertical slit, concentric and inferior shelf.
Excellent presentation
Thank you
God Bless, informative case study
Thank you Sir
Great presentation
Thank you
Good and informative presentation
Thank you Sir
Though Radial incisions with excision of scarred tissue is a simple technique to do, better results have been documented in the literature with other methods namely (a) Y-V advancement (b) Double reversing Z plaster (c) Double circular incision technique etc. Can you cite the reason why you chose multiple radial incision technique in this case?
Sir in our patient the skin surrounding the stoma was extremely scarred and unhealthy, hence creating a flap was not an option. Radial incisions and excision of scarred tissue was the best possible technique. Also as per Montgomery ‘s classification, there are 3 types of stenosis – vertical slit, concentric and inferior shelf. Z plasty, v-y advancement flaps were proposed for vertical slit type, v shaped skin flaps for inferior shelf and radial incision technique was proposed for concentric stenosis, as seen in our patient.
Very nice presentation Dr divya
Excellent presentation
Thank you ma’am
Informational presentation..
Thank you sir
Excellent presentation
Thank you sir
Very insightful, good work!
Thank you sir
Great work
Thank you sir
Excellent work
Great Job!
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Good Work
Thank you Sir
Great Work
Thank you sir
A gr8 service to humanity.
Thank you sir
A fabulous work
Thank you sir
An excellent work & research in this field. Will help both the Doctors & the Patients. God Bless !!
Thank you sir
Very informational presentation.
Can you tell what is the gender predilection for stenosis?
Thank you. Incidence is more in females and the reason most commonly stated is less cross sectional area of trachea.
Excellent reasearch
Thank you ma’am
Good work
Thank you ma’am
Brilliant
Thank you
Very informative!!
Thank you ma’am
Excellent presentation
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Precise & perfect
Thank you
Good piece of work Dr Divya. Excellent demonstration
Thank you ma’am
Very insightful
Thank you sir
Informative and good presentation
Thank you ma’am
Nice poster indeed. Is what no. of cases the stenosis is likely to recur ? What was the HPER of the excised tissue ? Were there any atypical cells seen ?
Thank you sir. Patients post total laryngectomy and RT are placed on regular follow up. There is no particular incidence of restenosis in the existing literature, however recurrent infections, excessive scarring and perichondritis can lead to restenosis. Histopathological examination revealed hypertrophied scarred skin with no evidence of atypia
Really informative.
Thank you sir
Very well articulated, excellent work done. Keep it up
Thank you sir
Very nicely written and very informative poster!!
Thank you sir
Informative. Well presented
Thank you
Very good case report
Thank you ma’am
An extremely well described case report
Thank you Sir
Good work Dr. Divya
Thank you Sir
Good work and nicely explained
Thank you sir
Great presentation
Thank you ma’am
An interesting case study indeed!
Thank you
Very informative !!
Thank you sir
Really interesting work👏
All the best!!
Thank you Ma’am