Kashima's Procedure
Journal Title: Medpulse International Journal of ENT - Year 2019, Vol 10, Issue 1
Abstract
Background: Vocal fold paralysis refers to reduced or absent function of the vagus nerve or its distal branch, the recurrent laryngeal nerve. Kashima’s procedure is a lateralization procedure of the vocal cords performed for cordotomy using laser introduced by Kashima in 1989. Case Report: 50 y/o female - o/c/o Rt hemithyroidectomy with dyspnea (NYHA 2). Lt vocal cord palsy, Rt cocal cord sluggishly mobile. RS - Inspiratory stridor +Preoperatively, the patient in sitting position pharynx was anaesthetised with10./. Lignocaine spray and 2ml of 4./. Lignocaine nebulisation. Patient was induced with Inj.Propofol 50mg (+30mg+20mg+20mg) (in titrated doses) and Inj.Atracurium 25mg iv. Patient was intubated orally using a cuffed microlaryngeal tube number 5. Intraoperatively, patient was vitally stable. Analgesia was provided in the form of top ups of Inj.Fentanyl 20ug iv. Reversal given post -op and pt. extubated smoothly. Discussion: A microlaryngeal tube was used to secure the airway and patient was ventilated using a closed-circuit ventilator system. The advantage being smooth maintenance of airway throughout surgery and ability to provide oxygen at low concentrations. Anaesthesia was maintained using oxygen-air mixture with isoflurane (non-inflammable agent).
Authors and Affiliations
Vidisha S Barua, Pradnya Kulkarni
Keywords
Related Articles
- EP ID EP590503
- DOI 10.26611/10161014
- Views 184
- Downloads 0
Tiopathological study of epistaxis in a tertiary health care centre
Abstract Background: Epistaxis is one of the most common and emergency condition observed in Otorhinolaryngology. It has various etiological factors like trauma, chronic diseases and infections. This study aimed at findi...
Kashima's Procedure
Background: Vocal fold paralysis refers to reduced or absent function of the vagus nerve or its distal branch, the recurrent laryngeal nerve. Kashima’s procedure is a lateralization procedure of the vocal cords performed...
Bacteriological profile of chronic suppurative otitis media
Background: Chronic suppurative otitis media (CSOM) is the most common infection of the middle ear characterized by persistent or recurrent purulent discharge from the middle ear through a perforated tympanic membrane. A...
Evaluation of healing and hearing of grafted materials used in tympanoplasty
Problem Statement: Tympanoplasty operation could prevent recurrent infection from external canal source by making the ear waterproof. It also would convert the open middle ear into a cul – de – sac, so that free flow of...
Nasal Rhinosporidiosis- An experience in our institution
Background: Rhinosporidiosis is a rare chronic granulomatous disease caused by Rhinosporidium seeberi belonging to a novel group of fish parasites Mesomycetozoa. Rhinosporidiosis is an age old endemic source which has af...