ePoster for Laryngology Summit 2021 – Divya

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

This Post Has 97 Comments

  1. Lt Col Sunil Kumar Yadav

    A good case study in ENT.

  2. Dr Divya Sethi

    Thank you Sir

  3. Dr. Prem Shankar Kumar

    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?

    1. Divya Sethi
      Divya Sethi

      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.

  4. Shivangi

    Informational indeed!

  5. Rajeev

    Any recurrence on follow up ma’am?

    Is the patient relieved of respiratory distress?

    1. Divya Sethi
      Divya Sethi

      Sir, till the present follow up(3 months post op), there is no recurrence of stenosis. Patient is relieved of respiratory distress.

  6. Surg Lt (Dr) Sujay Nadiger

    Good case study

  7. Dr Sanjika Sharma

    Interesting case. Good work

  8. Afzal

    Good work Dr Divya, can you ennumerate the types of tracheal stenosis?

    1. Divya Sethi
      Divya Sethi

      Thank you. Montgomery ‘s classification grouped the most frequent types of stenosis into 3 classes- vertical slit, concentric and inferior shelf.

  9. Meenakshi varma

    Excellent presentation

  10. R Seth

    God Bless, informative case study

  11. Dr somya

    Great presentation

  12. Amit

    Good and informative presentation

  13. Col (Dr) BK Prasad

    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?

    1. Divya Sethi
      Divya Sethi

      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.

      1. Nisha

        Very nice presentation Dr divya

  14. Priyanka

    Excellent presentation

  15. Karan

    Informational presentation..

  16. Dhiraj

    Excellent presentation

  17. Madhav Chahar

    Very insightful, good work!

  18. Daiwik rao

    Great work

  19. Daiwik rao

    Excellent work

  20. MajorPradeep

    Great Job!

  21. Col Manmohan Singh

    Good Work

  22. Dr chandan

    Great Work

  23. Vijay

    A gr8 service to humanity.

  24. Rakesh Thakur

    An excellent work & research in this field. Will help both the Doctors & the Patients. God Bless !!

  25. Dr Gunjan Gahlot

    Very informational presentation.
    Can you tell what is the gender predilection for stenosis?

    1. Divya Sethi
      Divya Sethi

      Thank you. Incidence is more in females and the reason most commonly stated is less cross sectional area of trachea.

  26. Ruby Dagar

    Good work

  27. Roy

    Brilliant

  28. Shahnaz

    Very informative!!

  29. Rufus

    Excellent presentation

  30. V V Subramaniam

    Precise & perfect

  31. Maj (Dr) Aprajita Atreya

    Good piece of work Dr Divya. Excellent demonstration

  32. Rajat Kumar Singh

    Very insightful

  33. Neeta Chugani

    Informative and good presentation

  34. Hemant Himanshu Parihar

    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 ?

    1. Divya Sethi
      Divya Sethi

      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

  35. Shubham Singh Pal

    Really informative.

  36. Col Akhil Sharma

    Very well articulated, excellent work done. Keep it up

  37. Dr RK Jha

    Very nicely written and very informative poster!!

  38. B Srinivas

    Informative. Well presented

  39. Poonam

    Very good case report

  40. Sanjay

    An extremely well described case report

  41. Rishabh

    Good work Dr. Divya

  42. Rishabh

    Good work and nicely explained

  43. Swati

    Great presentation

  44. Dr Sheikh

    An interesting case study indeed!

  45. Dr Sahil Kumar

    Very informative !!

  46. Jaya Yadav

    Really interesting work👏
    All the best!!

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