‘old foley’s in a new bottle’- USE OF FOLEY’S CATHETER IN ANTERIOR MAXILLARY WALL FRACTURES

ABSTRACT Management of comminuted zygomaticomaxillary fractures are is an entity that has always tested the skill of surgeons. A variety of methods have been coined over the years for management of these fractures. Packing the antrum with a gauze or  balloon can be used in much comminuted fractures especially with anterior antral wall communication. Internal immobilization with a Foley’s balloon catheter is being used widely in Blow out fractures of orbit and rarely in tripod fractures. Despite a thorough search, not much literature could be found of its use in anterior maxillary wall fractures. The purpose of this article is to appraise this technique in anterior maxillary wall fractures.

AN APPROBATION FOR COBLATION IN KASHIMA PROCEDURE

The most common cause of BVFI is iatrogenic or surgical (44%) [1]. Among surgical procedures, Thyroid surgery is the most common culprit. The management of BVFP is a delicate equilibrium between airway, voice and swal-lowing. This article discusses our experience in treating BVFP by Posterior Cordotomy - Kashima's procedure by Coblation Technology, which restores sufficient glottic space, at the same time preserving the phonatory and sphincteric functions of the larynx. As Cobla-tion causes minimal tissue injury, our patients could be decannulated on the third postoperative day as opposed to traditional teaching. All of them were successfully decannulated from tracheostomy with an adequate airway & exercise tolerance, a near normal voice and no aspiration. This record was migrated from the OpenDepot repository service in June, 2017 before shutting down

Kashima's Posterior cordectomy using coablator our experience

Aim:To study the effectiveness of coblation technology in performing Kashima's procedure for bilateral abductor vocal fold paralysis.Methodology:Managing patients with bilateral vocal fold abductor paralysis is rather tricky one. It calls for delicate balance between airway and phonation. Various endolaryngeal techniques have been usedto manage this problem. Here the authors describe their experience with posterior cordectomy using coablator. This study includes 10 patients who presented with stridor following bilateralabductor paralysis. All our patients were on tracheostomy tubes. They were very anxious with the tube and wanted decannulation done. All of these patients were operated by the same seniorsurgeon. These patients were managed with posterior cordotomy using coablation. Laryngealwands were used in all these patients. These patients underwent spiggoting of their tracheostomy tube on the first post operative day. Decannulation was completed on the third post operative day.Early decannulation was made possible because there was negligible soft tissue oedema as these patients underwent coblation procedure.Observation:On discharge all of them had a good voice and adequate airway.These patients were able to climb two flights of stairs without discomfort.Although the causes of bilateral abductor paralysis of vocal cords are multifactorial post traumaticparalysis formed a large majority of our patients ( 8 who developed bilateral vocal fold paralysis following total thyroidectomy).

Coblation adenoidectomy our experience

Aim of our study is to compare the efficacy and safety of coblation adenoidectomy versus conventional cold steel adenoidectomy. The study design included 40 children between age groups 4 – 8. Twenty of these children underwent coblation adenoidectomy while the othergroup of 20 underwent conventional cold steel adenoidectomy. The parameters taken into consideration for comparison included Post operative pain, operating time, intraoperative bleeding and presence of residual adenoid tissue 6 weeks after surgery.In this study the coblation group demonstrated less post operative pain, less intraoperative bleeding and more complete removal of adenoid tissue. Operative time was found to be significantly higher in coblation group when compared to conventional cold steel adenoidectomy group.