Early-stage laryngeal cancers may be treated with partial surgery thanks to advances in diagnosis and surgery. The aim of our study is to compare the degree of voice disorders and respiratory function between healthy volunteers and patients that underwent a partial laryngectomy surgery. 30 patients who underwent partial laryngectomy due to laryngeal cancer and 30 healthy volunteers were included in the study. Voice analysis was made via vocal assessment computer program. The participants filled voice handicap index. In addition, an otorhinolaryngologist assessed the roughness, hoarseness and breathiness parameters of voice. Each patient underwent pulmonary function test for pulmonary function. In people underwent to partial laryngectomy, shimmer value, F0 value in cordectomies, jitter value in cordectomy, frontolateral and supracricoid groups were observed to be statistically increased compared to control group (p<0.05). Maximum phonation time was observed to be decreased in all partial surgery (p<0.05). While pathology was observed in pulmonary function test in 50% patients in post-surgery period, it was observed that the most affected group was supracricoid laryngectomy. Voice and respiratory problems in partial surgery still constitute a problem for surgeries. In this study, we found that even though patients have adequate pulmonary function, they have an inferior voice quality with regard to their own perception.

Objectives: 1) Describe largest population reported in the literature of children with limited oral opening that does not allow for routine orotracheal intubation with direct laryngoscopy. 2) Analyze incidence and outcome of airway compromise or loss in this population. 3) Identify factors that preclude decannulation in children with limited oral opening.Methods: Retrospective chart review of children who were identified by the Children's Hospitals and Clinics of Minnesota craniofacial team over the last 15 years as having limited oral opening that did not allow for routine orotracheal intubation by direct laryngoscopy.Results: Ten children (mean age 13 years, range 7-17 years) were identified for inclusion into the study. A total of 109 operations requiring general anesthesia (average of 10.9 per patient, range 0-23) were performed on patients without a tracheostomy in place. Flexible fiberoptic nasal intubation was performed in 58 cases, 37 by otolaryngology (64%) and 21 by anesthesiology (36%). The remainder of airway control was by mask ventilation (33 cases), various methods of orotracheal intubation (12 cases), and unknown (6 cases). There was a total of 118 patient years without a tracheostomy tube in place (average of 11.8 years per patient). During this period there were no episodes of acute airway compromise that resulted in neurologic deficits.Conclusions: Select children with limited oral opening that does not allow for routine orotracheal intubation with direct laryngoscopy can be safely managed without a tracheostomy, even when the child requires frequent procedures under general anesthesia.

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Today, in spite of improved diagnostic tools and appropriate antibiotic usage, life-threatening complications of sinusitis such as orbital abscess and subdural empyema can still be observed. These complications may cause serious, disabling sequelae. Presently described is case of 12-year-old girl with frontoethmoidal sinusitis as well as orbital abscess and subdural empyema. Prompt diagnosis and treatment resulted in uncomplicated outcome. For patients with subdural empyema, early diagnosis is possible with cranial magnetic resonance imaging (MRI) and surgery is not necessarily required for clinical improvement. Otolaryngologists should pay attention to additional symptoms such as confusion or loss of consciousness in patients with orbital abscess in order to diagnose a secondary complication such as subdural empyema promptly.