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July 1972


Author Affiliations

Department of Otolaryngology and Maxillofacial Surgery University of Cincinnati Medical Center 234 Goodman St Cincinnati 45229

Arch Otolaryngol. 1972;96(1):92. doi:10.1001/archotol.1972.00770090130025

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We are very grateful to Dr. Chandler for his comments on our article "Emergency Laryngectomy." We do not wish to deny credit to Drs. Hoover and King for their fine article "Emergency Laryngectomy." No attempt whatsoever on our part was made to claim originality for the concept of emergency laryngectomy. At our institution, we adopted and modified the concept to accommodate three different types of patients. (1) Patients with impending laryngeal obstruction; (2) patients with airway obstruction as a result of special laryngeal radiographics, studies, and endoscopies; and (3) patients in totally obstructed states. In addition, we have adopted a plan of approach for those patients with laryngeal carcinoma who undergo emergency tracheostomy, but for some reason or another could not undergo the emergency laryngectomy. We also try to delineate subglottic extension in all these cases so that we do not cut through tumor at the time the tracheostomy is

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