Alessandro de Alarcon

78 statements · 3 topics

Aerodigestive / ENT · guest expert

Featured statements

If we can, we like to use a NIM tube as part of trying to prevent potential injury to recurrent nerves or at least make you aware when you're Getting close to them.
quote · Aerodigestive / ENT
We like to use 30 prolenes and we like to place all the stitches before we actually secure them down, and it's important to do this under spontaneous conditions.
quote · Aerodigestive / ENT
We will sometimes place stitches in the trachea to pull it up and out of the way so you can visualize that posterior aspect of where you see the spine.
quote · Esophageal Atresia
And when you look 36 months later, it may still look like there's some malaysia, but symptomatically, they're better.
quote · Esophageal Atresia
Stitches are sometimes placed in the trachea to pull it up and out of the way for visualization of the posterior aspect and spine.
clinical · Tracheomalacia
Flexible bronchoscopy during the operation is key, and endotracheal tube placement must allow visualization during the procedure.
clinical · Tracheomalacia

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Alessandro's statements about Aerodigestive / ENT 26 statements

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QUAD #1: Cervical Tracheopexy with Dr. Alessandro de Alarcon

Quotation In Cincinnati we typically use a combined approach looking at the thoracic approach as well as with the cervical approach. Open
Statement Cincinnati Children's typically uses a combined cervical and thoracic approach for esophageal atresia cases. Open
Statement Required intraoperative equipment includes a neck tray, MLB tray, and Maloney dilators or NG tubes. Open
Quotation You need a neck tray, and MLB tray, and Maloney dilators versus NG tubes in the operating room and you do it. Open
Quotation The flexible bronchoscopy is really key and Placing your endotracheal tube is really important so they can look as you were doing the operation. Open
Statement Flexible bronchoscopy during the operation is key, and endotracheal tube placement must allow visualization during the procedure. Open
Statement Nasotracheal intubation is often used with the cuff positioned high, sometimes almost at the glottis. Open
Quotation And sometimes that means your cuff is super high and it's almost at the glottis. Open
Quotation If we can, we like to use a NIM tube as part of trying to prevent potential injury to recurrent nerves or at least make you aware when you're Getting close to them. Open
Statement A NIM tube is preferred when possible to prevent injury to recurrent nerves or provide awareness when approaching them. Open
Statement The surgical approach uses subplatysmal flaps and addresses anterior compression as needed. Open
Statement Aortopexy and innominate artery pexy can be added at the same time as the cervical procedure. Open
Statement The Cincinnati team has learned not to be afraid of mobilizing the esophagus, which is important for the procedure. Open
Quotation And then it's thinking about your approach to mobilize the esophagus and the experience of working with our team in Cincinnati, we have learned how to not be afraid of the esophagus. Open
Statement Stitches are sometimes placed in the trachea to pull it up and out of the way for visualization of the posterior aspect and spine. Open
Quotation We will sometimes place stitches in the trachea to pull it up and out of the way so you can visualize that posterior aspect of where you see the spine. Open
Statement The team uses 3-0 prolene sutures and places all stitches before securing them down. Open
Quotation We like to use 30 prolenes and we like to place all the stitches before we actually secure them down, and it's important to do this under spontaneous conditions. Open
Statement Suture placement is performed under spontaneous ventilation conditions. Open
Statement A patient who had prior thoracoscopic tracheopexy with dysphagia from torqued esophagus underwent the combined approach and became symptom-free. Open
Statement Outcome measures include follow-up endoscopy, pulmonary function tests when patients are old enough, and imaging. Open
Statement At 36 months follow-up, imaging may still show tracheomalacia, but patients can be symptomatically better. Open
Quotation And when you look 36 months later, it may still look like there's some malaysia, but symptomatically, they're better. Open
Statement The team is still learning what measures should define good versus bad outcomes. Open
Quotation So it's important to pair that piece and understand that we're still trying to learn exactly what are those measures that we want to use to be able to say that they are a good outcome versus a bad outcome. Open
Statement Managing complications including swallowing dysfunction and vocal fold paralysis is part of postoperative care. Open
Alessandro's statements about Esophageal Atresia 26 statements

Open the Esophageal Atresia collection →

QUAD #1: Cervical Tracheopexy with Dr. Alessandro de Alarcon

Quotation In Cincinnati we typically use a combined approach looking at the thoracic approach as well as with the cervical approach. Open
Statement Cincinnati Children's typically uses a combined cervical and thoracic approach for esophageal atresia cases. Open
Quotation You need a neck tray, and MLB tray, and Maloney dilators versus NG tubes in the operating room and you do it. Open
Statement Required intraoperative equipment includes a neck tray, MLB tray, and Maloney dilators or NG tubes. Open
Statement Flexible bronchoscopy during the operation is key, and endotracheal tube placement must allow visualization during the procedure. Open
Quotation The flexible bronchoscopy is really key and Placing your endotracheal tube is really important so they can look as you were doing the operation. Open
Statement Nasotracheal intubation is often used with the cuff positioned high, sometimes almost at the glottis. Open
Quotation And sometimes that means your cuff is super high and it's almost at the glottis. Open
Quotation If we can, we like to use a NIM tube as part of trying to prevent potential injury to recurrent nerves or at least make you aware when you're Getting close to them. Open
Statement A NIM tube is preferred when possible to prevent injury to recurrent nerves or provide awareness when approaching them. Open
Statement The surgical approach uses subplatysmal flaps and addresses anterior compression as needed. Open
Statement Aortopexy and innominate artery pexy can be added at the same time as the cervical procedure. Open
Statement The Cincinnati team has learned not to be afraid of mobilizing the esophagus, which is important for the procedure. Open
Quotation And then it's thinking about your approach to mobilize the esophagus and the experience of working with our team in Cincinnati, we have learned how to not be afraid of the esophagus. Open
Statement Stitches are sometimes placed in the trachea to pull it up and out of the way for visualization of the posterior aspect and spine. Open
Quotation We will sometimes place stitches in the trachea to pull it up and out of the way so you can visualize that posterior aspect of where you see the spine. Open
Statement The team uses 3-0 prolene sutures and places all stitches before securing them down. Open
Statement Suture placement is performed under spontaneous ventilation conditions. Open
Quotation We like to use 30 prolenes and we like to place all the stitches before we actually secure them down, and it's important to do this under spontaneous conditions. Open
Statement A patient who had prior thoracoscopic tracheopexy with dysphagia from torqued esophagus underwent the combined approach and became symptom-free. Open
Statement Outcome measures include follow-up endoscopy, pulmonary function tests when patients are old enough, and imaging. Open
Statement At 36 months follow-up, imaging may still show tracheomalacia, but patients can be symptomatically better. Open
Quotation And when you look 36 months later, it may still look like there's some malaysia, but symptomatically, they're better. Open
Statement The team is still learning what measures should define good versus bad outcomes. Open
Quotation So it's important to pair that piece and understand that we're still trying to learn exactly what are those measures that we want to use to be able to say that they are a good outcome versus a bad outcome. Open
Statement Managing complications including swallowing dysfunction and vocal fold paralysis is part of postoperative care. Open
Alessandro's statements about Tracheomalacia 26 statements

Open the Tracheomalacia collection →

QUAD #1: Cervical Tracheopexy with Dr. Alessandro de Alarcon

Statement Cincinnati Children's typically uses a combined cervical and thoracic approach for esophageal atresia cases. Open
Quotation In Cincinnati we typically use a combined approach looking at the thoracic approach as well as with the cervical approach. Open
Quotation You need a neck tray, and MLB tray, and Maloney dilators versus NG tubes in the operating room and you do it. Open
Statement Required intraoperative equipment includes a neck tray, MLB tray, and Maloney dilators or NG tubes. Open
Quotation The flexible bronchoscopy is really key and Placing your endotracheal tube is really important so they can look as you were doing the operation. Open
Statement Flexible bronchoscopy during the operation is key, and endotracheal tube placement must allow visualization during the procedure. Open
Statement Nasotracheal intubation is often used with the cuff positioned high, sometimes almost at the glottis. Open
Quotation And sometimes that means your cuff is super high and it's almost at the glottis. Open
Quotation If we can, we like to use a NIM tube as part of trying to prevent potential injury to recurrent nerves or at least make you aware when you're Getting close to them. Open
Statement A NIM tube is preferred when possible to prevent injury to recurrent nerves or provide awareness when approaching them. Open
Statement The surgical approach uses subplatysmal flaps and addresses anterior compression as needed. Open
Statement Aortopexy and innominate artery pexy can be added at the same time as the cervical procedure. Open
Statement The Cincinnati team has learned not to be afraid of mobilizing the esophagus, which is important for the procedure. Open
Quotation And then it's thinking about your approach to mobilize the esophagus and the experience of working with our team in Cincinnati, we have learned how to not be afraid of the esophagus. Open
Statement Stitches are sometimes placed in the trachea to pull it up and out of the way for visualization of the posterior aspect and spine. Open
Quotation We will sometimes place stitches in the trachea to pull it up and out of the way so you can visualize that posterior aspect of where you see the spine. Open
Quotation We like to use 30 prolenes and we like to place all the stitches before we actually secure them down, and it's important to do this under spontaneous conditions. Open
Statement Suture placement is performed under spontaneous ventilation conditions. Open
Statement The team uses 3-0 prolene sutures and places all stitches before securing them down. Open
Statement A patient who had prior thoracoscopic tracheopexy with dysphagia from torqued esophagus underwent the combined approach and became symptom-free. Open
Statement Outcome measures include follow-up endoscopy, pulmonary function tests when patients are old enough, and imaging. Open
Statement At 36 months follow-up, imaging may still show tracheomalacia, but patients can be symptomatically better. Open
Quotation And when you look 36 months later, it may still look like there's some malaysia, but symptomatically, they're better. Open
Statement The team is still learning what measures should define good versus bad outcomes. Open
Quotation So it's important to pair that piece and understand that we're still trying to learn exactly what are those measures that we want to use to be able to say that they are a good outcome versus a bad outcome. Open
Statement Managing complications including swallowing dysfunction and vocal fold paralysis is part of postoperative care. Open