Laryngeal and Tracheobronchial Stenosis

First Edition

Guri S. Sandhu, S.A. Reza Nouraei

Details: 497 pages, Full Color, Hardcover, 8.5" x 11"

ISBN13: 978-1-59756-550-9

© 2016 | Available


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Written by recognized international experts, Laryngeal and Tracheobronchial Stenosisprovides practicing professionals with an up-to-date, accessible reference text for managing stenosis of the larynx, trachea, or bronchi.

The editors have treated a significant number of patients with this condition and have collected objective and scientifically validated outcome measures, thus establishing a balanced and scientific approach to literature review and the material presented. This text aims to provide guidance, based upon a body of evidence, to enable readers to make informed decisions on management options.

Laryngeal and Tracheobronchial Stenosis covers new topics applicable to all populations, such as:

  • Objective outcomes assessment - a new field that has largely developed through the editors' efforts
  • The worldwide shift in a surgical emphasis toward endoscopic and office-based procedures
  • The development of new tracheal replacement techniques
  • New diseases that have emerged and disease management
  • Clinically-accessible, significant background bodies of knowledge on histopathology and physiology


"...Laryngeal and Tracheobronchial Stenosis is an excellent resource covering a very important aspect of laryngology. Editors Guri Sandhu and Reza Nouraei, who both work at The National Centre for Airway Reconstruction in London, have done a commendable job. They have managed to bring together a group of experts in this field and have produced a comprehensive guide covering all aspects of the disease. There are thirty well-written chapters. The text is complimented by easy to read graphs, charts and colour photographs. I would consider it an atlas of airway reconstruction. The book starts with the history of airway surgery and then goes on to describe anatomy and physiology of the larynx and trachea. Guri and Reza have written the chapter on pathophysiology of laryngotracheal stenosis. They have presented their experience of modern laryngotracheal case mix at their centre..."
Kamaal Khan, MBBS, MRCSEd, DOHNS, FRCS, Consultant ENT, UK, in the Journal of Laryngology & Otology (June 2016)

"This book fills an intellectual void with its comprehensive and in-depth review of airway anatomy, physiology, and pathology. Uniquely, many of the concepts discussed are supported by an integrated series of prospective cohort studies performed by the editors, aimed at refining our understanding of the central mechanisms of adult airway stenosis. Beyond pathophysiology, the exceptional cohort of patients managed at The National Centre for Airway Reconstruction in London has allowed the authors to delineate objective, validated outcome measures, which will serve to propel the discipline of airway surgery exponentially forward.

This text aims to provide guidance, based upon a body of evidence, to enable readers to make informed decisions on management options. It is comprehensive in nature not only discussing intubation injury, but also the myriad of inflammatory disorders affecting the larynx and trachea. It also has excellent chapters on laryngeal trauma, the management of airway foreign bodies, and anesthesia technique. It includes practical descriptions of equipment and personnel necessary for an effective airway management team. Laryngeal and Tracheobronchial Stenosis covers the technical aspects of endoscopic and traditional open reconstructive therapy with equal expertise. The text concludes with an excellent summary of the status of tracheal transplantation and tissue regeneration techniques. The strengths of this book are its comprehensive content, thorough references, and easy-to-read text.

Overall, there are 30 well-written chapters, complimented by easy-to-read graphs, color photographs, and detailed illustrations of the surgical techniques described. I would consider it an essential atlas of airway reconstruction. Dr. Sandhu and Dr. Nouraei have provided airway surgeons with a unique scholarly contribution. ''Laryngeal and Tracheobronchial Stenosis'' provides practicing professionals with an up-to-date accessible reference text for managing stenosis of the larynx, trachea, or bronchi. The editor's clarity and enthusiasm will certainly impel the reader to participate in this exciting and rapidly evolving field. It should be part of the library of all airway surgeons and available in all otolaryngology-head and neck surgery and thoracic surgery training programs."
Alexander Gelbard, MD, Nashville, TN, in Head & Neck (February 23, 2017)

"Management of patients with laryngeal and tracheobronchial stenosis is extremely challenging and complex and truly requires a multidisciplinary approach in its management. This book, written by experts in their respective fields, provides a detailed and up-to-date overview of the subject along with references.

The book contains 30 chapters and it covers the history of airway surgery, anatomy and physiology, pathophysiology, investigations, assessment and management of patients presenting with various pathologies. This includes management of both adults and paediatric pathologies including emergency scenarios. It provides up-to-date and practical indicators in managing certain conditions including providing management algorithms wherever possible and is very well-illustrated, including high-quality colour photographs. As a surgeon, I appreciated descriptions of surgical procedures which are accompanied by excellent illustrations and photographs.

The chapters are set out in a way that makes the book flow naturally and is comprehensible. It takes the reader through a journey that begins with history of airway surgery and ends with transplantation and regeneration of the trachea and it is an enlightening journey. In addition to detailed chapters the various conditions, it also covers assessment of patients and outcomes, imaging techniques, prevention and screening for laryngotracheal stenosis, anaesthetic techniques and setting up an airway service.

Laryngeal and Tracheobronchial Stenosis is an excellent reference book and I found it a fascinating read. Having managed patients with difficult airways over the last four years and developed an airway service for such conditions in my hospital, I will recommend this book to my colleagues and trainees in ENT and head and neck surgery, anaesthetists and those involved in managing tracheostomies."

—Amit Prasai, Consultant Otolaryngologist and Head and Neck Surgeon, in ENT & Audiology News (August 2020)

Foreword by Gregory N. Postma, MD

Chapter 1. History of Airway Surgery

Jonathan Hughes

Chapter 2. Anatomy of the Larynx and Trachea

S.M. Nouraei and S.A. Reza Nouraei

Chapter 3. Physiology and Phylogeny of the Larynx and Trachea

Clarence T. Sasaki, Michael Z. Lerner, and S.A. Reza Nouraei

Chapter 4. Pathphysiology of Laryngotracheal Stenosis

S.M. Nouraei and S.A. Reza Nouraei

Chapter 5. Assessment of Patients and Outcomes in Laryngotracheal Stenosis

S.M. Nouraei and S.A. Reza Nouraei

Chapter 6. Imaging Techniques in Laryngeal and Tracheobronchial Stenosis

Septimiu Dan Murgu

Chapter 7. Assessment and Management of Dysphagia in Laryngotracheal Stenosis

Mark A. Fritz and Milan R. Amin

Chapter 8. Setting Up an Airway Service

Khalid Ghufoor

Chapter 9. Sedation and Anesthetic Techniques

Anil Patel

Chapter 10. Management of the Acutely Compromised Airway

Anil Patel

Chapter 11. Laryngeal Trauma

Maya G. Sardesai and Albert L. Merati

Chapter 12. Care of Patients With Tracheostomies, T-Tubes, and Other Airway Devices

Taranjit S. Tatla and Claire E. Fitzgerald

Chapter 13. Bilateral Impaired Vocal Cord Mobility

Guri S. Sandhu, S.A. Reza Nouraei, Laszlo Rovo, Jean-Paul Marie, Andreas H. Mueller, and Paul F. Castellanos

Chapter 14. Laryngeal Dysfunction

Julia Selby, James Hull, Jayme R. Dowdall, Chandler C. Thompson, and Jo Shapiro

Chapter 15. Intubation-Related Laryngotracheal Stenosis

S.A. Reza Nouraei and Guri S. Sandhu

Chapter 16. Prevention and Screening for Laryngotracheal Stenosis

Edward J. Costar and Carlos M. H. Gomez

Chapter 17. Assessment and Management of Pediatric Airway Problems

Richard Hewitt, Benjamin Hartley, and Thushitha Kunanandam

Chapter 18. Laryngotracheal Reconstruction and Partial Cricotracheal Resection

Lluis Nisa and Kishore Sandu

Chapter 19. Long-Segment Pediatric Tracheal Stenosis

Karthik Balakrishnan and Michael J. Rutter

Chapter 20. Idiopathic Subglottic Stenosis

S.A. Reza Nouraei and Guri S. Sandhu

Chapter 21. Vasculitides and Other Autoimmune Diseases Causing Laryngotracheal Stenosis

Romana Kuchai and Alan D. Salama

Chapter 22. Infections of the Larynx and Trachea

Paul Chatrath and Sachin Gandhi

Chapter 23. Recurrent Respiratory Papillomatosis

Adam J. Donne

Chapter 24. Airway Foreign Bodies

Haytham Kubba

Chapter 25. Acute Upper Airway Compromise

Alasdair Mace

Chapter 26. Tracheobronchomalacia: Assessment and Management

Septimiu Dan Murgu

Chapter 27. The Larynx and Exercise

James Hull and Binita Panchasara

Chapter 28. Tracheobronchial Stenting

Ricky M. Thakrar, Sam M. Janes, and Jeremy George

Chapter 29. Tracheobronchial Malignancy

Georgia Hardavella and Jeremy George

Chapter 30. Transplantation and Regeneration of the Trachea

Pierre Delaere


Guri S. Sandhu

Guri S. Sandhu, MBBS, MD, FRCS, FRCS (ORL-HNS), hon FRAM, is an ENT Surgeon, working out of Imperial College in London. He has a special interst in voice, airway and swallowing problems, with a large practice managing the problems experienced by professional voice users from stage, music and media. He is ENT surgeon to the Royal Society of Musicians and, for his services to music, he has been made Honorary Fellow at the Royal Academy of Music. Mr Sandhu has one of the largest practices in the world managing damaged airways and has carried out extensive research and poineered new surgical approaches. This has led to a Doctorate of Medicine (MD), as well as numerous research articles, book chapters and books. He is an enthusiastic teacher, lecturing and running workshops, nationally and internationally. He is co-founder of the British Laryngological Association and one of a few invited to be Corresponding Fellow to the American Laryngological Association.

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S.A. Reza Nouraei

S. A. Reza Nouraei, MBBChir, PhD, FRCS, FRCS (ORL-HNS) is the Robert White Professor of Laryngology and Clinical informatics at Southampton University and a consultant surgeon at the Robert White Centre for Airway Voice and Swallowing in Poole, England. He studied sensorimotor neurophysiology and medicine at Gonville and Caius College, Cambridge, and received higher surgical training in academic otolaryngology in London followed by an International Fellowship in Laryngology and Airway Surgery in Auckland, New Zealand. His clinical practice is exclusively focused on laryngology and his research efforts are divided between apnoeic nasal ventilation (Transnasal Humidified Rapid-Insufflation Ventilatory Exchange [THRIVE] which he first described with Anil Patel), big data analytics, and surgical invocation. 

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