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Huge Epiglottis Cyst Causing Upper Air way Obstruction A Case Report and Literature Review
By Dr. Balasubramanian Thiagarajan , Dr. Karthikeyan Arjunan
Submited on: 02 Jun 2012 01:43:11 PM GMT
Published on: 04 Jun 2012 02:38:36 PM GMT
 
Huge epiglottic cyst causing upper airway obstruction, a case report and literature review
Posted by Dr. Ulaganathan Venkatesan on 06 Jun 2012 06:27:32 PM GMT

  • What are the main claims of the paper and how important are they?

    Reported the huge ( size matters) cyst  in the epiglottis;

    Stridor can occur as it may obstruct

    Instead of the regular laryngoscoic removal, he preferred to visualise using Boye Davis mouth gag and removed;

    He has suggested cautery or laser for bleeding control


  • Are these claims novel? If not, please specify papers that weaken the claims to the originality of this one.

    yes

     


  • Are the claims properly placed in the context of the previous literature?

    yes


  • Do the results support the claims? If not, what other evidence is required?

    supports and self sufficient


  • If a protocol is provided, for example for a randomized controlled trial, are there any important deviations from it? If so, have the authors explained adequately why the deviations occurred?

    Not applicable


  • Is the methodology valid? Does the paper offer enough details of its methodology that its experiments or its analyses could be reproduced?

    It is a case report and also includes relevant literature review

     


  • Would any other experiments or additional information improve the paper? How much better would the paper be if this extra work was done, and how difficult would such work be to do, or to provide?

    sufficient


  • Is this paper outstanding in its discipline? (For example, would you like to see this work presented in a seminar at your hospital or university? Do you feel these results need to be incorporated in your next general lecture on the subject?) If yes, what makes it outstanding? If not, why not?

    Informative and explained the technical details


  • Other Comments:

    Since it is mentioned Huge cyst and causes airway obstruction, two thing should be kept in mind and necessary precautions with suffient preoperative alertness is absolutely needed.

    They are

    1. cyst getting ruptured and chance for aspiration.............  cuffed ET or other measures for prevention of aspiration is needed.

    2. As already there was airway compromise, surgeon should be ready with Tracheostomy set or preoperatively Tracheostomy could have been done.

    may be he wants to avoid tracheostomy?

    Since he may be having full complement of ENT kits in OT including emergency tracheostomy set,  he would have avoided tracheostomy.

  • Competing interests:
    Nil
  • Invited by the author to review this article? :
    No
  • Have you previously published on this or a similar topic?:
    No
  • References:
    None
  • Experience and credentials in the specific area of science:

    so far operated 10 cases using Laryngoscope, once tried with Boyle Davis mouth gag also.

  • How to cite:  Venkatesan U .Huge epiglottic cyst causing upper airway obstruction, a case report and literature review[Review of the article 'Huge Epiglottis Cyst Causing Upper Air way Obstruction A Case Report and Literature Review ' by Arjunan K].WebmedCentral 2012;3(6):WMCRW001879
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