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Airway Reconstruction Surgical Dissection Manual

Otolaryngology - head and neck surgeons, general surgeons, and thoracic surgeons are required to know how to perform various types of open airway surgery. However, due to a decrease in the number of patients with subglottic or tracheal stenosis and resident work hour restrictions, exposure to these cases during training is often inadequate. As a result, there is an ever-increasing need for training programs to develop lifelike open airway simulation models. These in turn will promote competency-based surgical residency training and a drive toward continuing medical education and maintenance of certification. Written by an international group of airway surgeons, Airway Reconstruction Surgical Dissection Manual is an essential guide for residents and fellows in the fields of otolaryngology - head and neck surgery, general surgery, and thoracic surgery, as well as consultant surgeons in these specialties who are responsible for managing airway conditions, but infrequently perform open airway surgeries. This manual covers everything the trainee requires for mastering open airway surgical procedures on a live animal and extrapolating these techniques to human patients.It is extensively detailed for the beginner or for the experienced surgeon perfecting his or her technique, and can be used by the individual working at his or her own pace or in a group setting. There are several key features to this text: Complex tasks are broken into rudimentary steps so they can be mastered by trainees at any level High quality photos and diagrams of each surgical step convey information clearly and succinctly Procedural differences between animals and humans are clearly identified for easy and practical application to human patients
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Table of Contents

Foreword Preface Acknowledgments 1. Introduction Procurement, Transport, and Housing of Animals Operating Room Setup Surgical Instruments 2. Induction of Anesthesia and Intubation 3. Exposure and Anatomy of the Pig Airway: Comparison with the Human Airway 4. Anterior Cricoid Split (Single Stage) 5. Harvest of Thyroid Ala Cartilage Graft 6. Anterior Laryngotracheoplasty Using Thyroid Ala Cartilage Graft (Single Stage) 7. Harvest of Costal Cartilage Graft 8. Anterior Laryngotracheoplasty Using Costal Cartilage Graft (Single Stage) 9. Posterior Laryngotracheoplasty Using Costal Cartilage Graft (Single Stage) 10. Combined Anterior and Posterior Laryngotracheoplasty Using Costal Cartilage Grafts (Single Stage) 11. Tracheotomy 12. Placing a Stent (Double Stage) 13. Cricotracheal Resection (Single Stage) 14. Slide Tracheoplasty (Single Stage) Index Note: Animals used in these dissections are Yorkshire pigs. All photos are taken with the surgeon standing on the pig's right side unless otherwise specified.

About the Author

Evan J. Propst, MD, MSc, FRCSC, is an otolaryngologist-head and neck surgeon at The Hospital for Sick Children in Toronto, and an assistant professor and clinician investigator at the University of Toronto. Yamilet Tirado, MD, FACS, is an otolaryngologist-head and neck surgeon at Miami Children's Hospital in Florida. Faisal Issam Abdulkader, BM, MSc, FRCS, is an otolaryngologist-head and neck surgeon at Hamad Medical Corporation in Qatar and an assistant professor of clinical otolaryngology at Weill Cornell Medical College-Qatar. Marvin Estrada, VT, is a veterinary technician and the surgical coordinator in Lab Animal Services at the Research Institute at The Hospital for Sick Children in Toronto. Paolo Campisi, MSc, MD, FRCSC, FAAP, is an associate professor of otolaryngology-head and neck surgery practicing at The Hospital for Sick Children in Toronto. Vito Forte, MD, FRCSC, is a professor in the Department of Otolaryngology-Head and Neck Surgery in the Faculty of Medicine at the University of Toronto.


"This multi-author work is based on the Toronto training programme. It is a ring-bound manual, printed on tough glossy paper, ideally suited to its likely working environment. There are large and clear colour illustrations throughout, with brief explanatory text. An early chapter takes the novice through an anatomical dissection and cleverly contrasts the porcine anatomy with the human. Fortunately, they do seem well matched. Exercises that follow include cricoid split surgery and laryngotracheoplasty, in all their forms, with guides to harvesting alar and rib cartilage for grafting. Tracheostomy, cricotracheal resection, tracheoplasty and stenting are particularly suited to what is true surgical practice, after all, rather than a cadaver exercise. This is a highly specialised field, but the manual would make excellent reading for any laryngologist or paediatric ENT surgeon. The illustrations are of such a high quality, with every step shown, that even a humble otologist felt this looked like easy work. The real message, I am sure, is that this would convince any interested reader to sign up for such a hands-on course." -Liam Flood, The Journal of Laryngology & Otology (April 2014)

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