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Biomedical subjects

G O Bratcher

Publications and source records attributed to G O Bratcher.

8 recordsLinked to original sources
PubMed1989

Congenital absence of the nose: a case report.

Congenital absence of the nose (arhinia, congenital nasal atresia) is a rare anomaly which is infrequently described in the literature. Herein we present a case of congenital absence of the nose recently evaluated and treated at Children's Hospital Medical Center (CHMC), Cincinnati, OH. CT and MRI studies were obtained. To our knowledge, no such radiographic evaluations have been described in patients with congenital absence of the nose. In addition to complete absence of the anterior soft tissues of the nose, thin anterior and thick posterior atretic plates were present. MRI was useful in defining the nature of the soft tissue mass which filled the single hypoplastic nasal cavity. The lip, alveolus, and palate were remarkably well developed. A thorough investigation revealed no other congenital defects. At 15 days of life, because of the airway support required and the associated feeding difficulties, a nasal airway was created using a combination of sublabial, transpalatal and percutaneous approaches. Frequent home dilation of the surgically created opening has been successful in maintaining nasal patency thus allowing the patient to go without continuous stenting.

Dilatation↗
PubMed1988

Anterior cricoid split, 1977-1987. Evolution of a technique.

Acquired subglottic stenosis is a well-documented complication of endotracheal intubation in infants. In past years, many of these patients required a tracheotomy for a period of years prior to laryngotracheal reconstruction. The anterior cricoid split procedure was developed as a method of treatment for severe laryngeal stenosis in infants and young children without resorting to a tracheotomy. An analysis of our institution's ten-year experience with 67 patients is presented, detailing the changes in surgical technique that have taken place over that time period. This is contrasted with alternative means of cricoid decompression advocated by other surgeons. Our review supports the efficacy of this procedure when there is strict adherence to certain criteria prior to the performance of the operation. Specifically, this operation should be restricted to neonates or young infants whose pathology is limited to the glottis and subglottis or both, and in whom there is adequate pulmonary reserve.

Child, Preschool↗
PubMed1987

Blunt laryngeal trauma in children.

The diagnosis of laryngeal trauma in an adult trauma patient is usually readily made. It is frequently overlooked in children, however, because of the severity of their concomitant injuries and the unfamiliarity of pediatricians with this type of injury. The child with laryngeal trauma may develop respiratory distress much more quickly than an adult because of the relatively small dimensions of the pediatric airway and the apparent propensity for children to develop edema of the soft tissues of the larynx. This report retrospectively reviews our experience during the past several years with ten children who experienced blunt laryngeal trauma. Emphasis is placed upon the diverse etiologies of laryngeal trauma in children and the importance of both flexible and rigid laryngoscopy in the diagnosis and management of these patients.

Adolescent↗
PubMed1986

Subglossopalatal membrane.

A newborn who experienced respiratory distress just after birth had an oral web that extended from the floor of the mouth anterior to the tongue up to the hard palate. The membrane was slit in the midline to facilitate air exchange. The patient did well without intubation, and the web was resected. To our knowledge, this is the second case of subglossopalatal membrane to be reported. Embryologic and anatomic considerations, along with a review of the literature, are presented.

Abnormalities, Multiple↗