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Glottic Airway Stenosis

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Abstract

Glottic stenosis describes the narrowing of the upper airway at the level of the glottis or impairment of function of both vocal folds. This can lead to dyspnoea, dysphonia and swallowing problems. This chapter discusses the anatomy and physiology of the glottis and clinical assessment and diagnosis of the various causes of glottic stenosis. Management of this condition is extremely challenging, as ultimately there has to be a balance between voice, airway and swallowing function; the emphasis is on multidisciplinary decision-making. Endoscopic as well as open surgical treatments are discussed.

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References

  1. Jea B, editor. Union for international cancer control TNM classification. 8th ed. Hoboken, NJ: Wiley-Blackwell; 2016. p. 31.

    Google Scholar 

  2. Compton CCBD, Garcia-Aguilar J, et al., editors. AJCC Cancer Staging Atlas: a companion to the seventh editions of the AJCC cancer staging manual and handbook. 2nd ed. New York, NY: Springer; 2012. p. 80.

    Google Scholar 

  3. Hall A, Cobb R, Kapoor K, Kuchai R, Sandhu G. The Instrument of voice: the “true” vocal cord or vocal fold? J Voice. 2017;31(2):133–4.

    PubMed  Google Scholar 

  4. Nouraei SM. SARN. Anatomy of the larynx and trachea. In: Laryngeal and tracheobronchial stenosis. San Diego: Plural Publishing; 2016.

    Google Scholar 

  5. Landry AM, Rutter MJ. Airway anomalies. Clin Perinatol. 2018;45(4):597–607.

    PubMed  Google Scholar 

  6. Wyatt ME, Hartley BE. Laryngotracheal reconstruction in congenital laryngeal webs and atresias. Otolaryngol Head Neck Surg. 2005;132(2):232–8.

    PubMed  Google Scholar 

  7. Lungova V, Verheyden JM, Sun X, Thibeault SL. beta-Catenin signaling is essential for mammalian larynx recanalization and the establishment of vocal fold progenitor cells. Development. 2018;145(4):dev157677.

    PubMed  PubMed Central  Google Scholar 

  8. Negus V. The comparative anatomy of the larynx with particular reference to the functions of the organ in man. Lect Sci Basis Med. 1954;4:332–57.

    PubMed  Google Scholar 

  9. Sasaki CT, Weaver EM. Physiology of the larynx. Am J Med. 1997;103(5A):9S–18S.

    CAS  PubMed  Google Scholar 

  10. Sasaki CT. Anatomy and development and physiology of the larynx. GI Motility Online. 2016; https://doi.org/10.1038/gimo7.

  11. Ghazanfar AA, Rendall D. Evolution of human vocal production. Curr Biol. 2008;18(11):R457–60.

    CAS  PubMed  Google Scholar 

  12. Lieberman PH, Klatt DH, Wilson WH. Vocal tract limitations on the vowel repertoires of rhesus monkey and other nonhuman primates. Science. 1969;164(3884):1185–7.

    CAS  PubMed  Google Scholar 

  13. Nouraei SA, Nouraei SM, Patel A, Murphy K, Giussani DA, Koury EF, et al. Diagnosis of laryngotracheal stenosis from routine pulmonary physiology using the expiratory disproportion index. Laryngoscope. 2013;123(12):3099–104.

    PubMed  Google Scholar 

  14. Clunie GM, Roe JWG, Alexander C, Sandhu G, McGregor A. Voice and swallowing outcomes following airway reconstruction in adults: a systematic review. Laryngoscope. 2021;131(1):146–57.

    PubMed  Google Scholar 

  15. Munin MC, Heman-Ackah YD, Rosen CA, Sulica L, Maronian N, Mandel S, et al. Consensus statement: using laryngeal electromyography for the diagnosis and treatment of vocal cord paralysis. Muscle Nerve. 2016;53(6):850–5.

    PubMed  Google Scholar 

  16. Sandhu GS, Reza Nouraei SA. Laryngeal and tracheobronchial stenosis. San Diego: Plural Publishing; 2016.

    Google Scholar 

  17. Stephenson KA, Wyatt ME. Glottic stenosis. Semin Pediatr Surg. 2016;25(3):132–7.

    PubMed  Google Scholar 

  18. Holinger PH, Brown WT. Congenital webs, cysts, laryngoceles and other anomalies of the larynx. Ann Otol Rhinol Laryngol. 1967;76(4):744–52.

    CAS  PubMed  Google Scholar 

  19. Lawlor CM, Dombrowski ND, Nuss RC, Rahbar R, Choi SS. Laryngeal web in the pediatric population: evaluation and management. Otolaryngol Head Neck Surg. 2020;162(2):234–40.

    PubMed  Google Scholar 

  20. Miyamoto RC, Cotton RT, Rope AF, Hopkin RJ, Cohen AP, Shott SR, et al. Association of anterior glottic webs with velocardiofacial syndrome (chromosome 22q11.2 deletion). Otolaryngol Head Neck Surg. 2004;130(4):415–7.

    PubMed  Google Scholar 

  21. Monnier P. Pediatric airway surgery. Berlin: Springer; 2011. p. 127.

    Google Scholar 

  22. Cohen SR. Congenital glottic webs in children. A retrospective review of 51 patients. Ann Otol Rhinol Laryngol Suppl. 1985;121:2–16.

    CAS  PubMed  Google Scholar 

  23. McGuirt WF, Salmon J, Blalock D. Normal speech for patients with laryngeal webs: an achievable goal. Laryngoscope. 1984;94(9):1176–9.

    CAS  PubMed  Google Scholar 

  24. Edwards J, Tanna N, Bielamowicz SA. Endoscopic lysis of anterior glottic webs and silicone keel placement. Ann Otol Rhinol Laryngol. 2007;116(3):211–6.

    PubMed  Google Scholar 

  25. Gardner GM. Posterior glottic stenosis and bilateral vocal fold immobility: diagnosis and treatment. Otolaryngol Clin N Am. 2000;33(4):855–78.

    CAS  Google Scholar 

  26. Ossoff RH, Werkhaven JA, Dere H. Soft-tissue complications of laser surgery for recurrent respiratory papillomatosis. Laryngoscope. 1991;101(11):1162–6.

    CAS  PubMed  Google Scholar 

  27. Monnier P. Partial cricotracheal resection and extended cricotracheal resection for pediatric laryngotracheal stenosis. Thorac Surg Clin. 2018;28(2):177–87.

    PubMed  Google Scholar 

  28. Lesnik M, Thierry B, Blanchard M, Glynn F, Denoyelle F, Couloigner V, et al. Idiopathic bilateral vocal cord paralysis in infants: case series and literature review. Laryngoscope. 2015;125(7):1724–8.

    PubMed  Google Scholar 

  29. Brigger MT, Hartnick CJ. Surgery for pediatric vocal cord paralysis: a meta-analysis. Otolaryngol Head Neck Surg. 2002;126(4):349–55.

    PubMed  Google Scholar 

  30. Daniel SJ, Cardona I. Cricothyroid onabotulinum toxin A injection to avert tracheostomy in bilateral vocal fold paralysis. JAMA Otolaryngol Head Neck Surg. 2014;140(9):867–9.

    PubMed  Google Scholar 

  31. Mathur NN, Kumar S, Bothra R. Simple method of vocal cord lateralization in bilateral abductor cord paralysis in paediatric patients. Int J Pediatr Otorhinolaryngol. 2004;68(1):15–20.

    CAS  PubMed  Google Scholar 

  32. Miyamoto RC, Parikh SR, Gellad W, Licameli GR. Bilateral congenital vocal cord paralysis: a 16-year institutional review. Otolaryngol Head Neck Surg. 2005;133(2):241–5.

    PubMed  Google Scholar 

  33. Lee JW, Bon-Mardion N, Smith ME, Marie JP. Bilateral selective laryngeal reinnervation for bilateral vocal fold paralysis in children. JAMA Otolaryngol Head Neck Surg. 2020;146(5):401–7.

    PubMed  Google Scholar 

  34. Thorpe RK, Kanotra SP. Surgical management of bilateral vocal fold paralysis in children: a systematic review and meta-analysis. Otolaryngol Head Neck Surg. 2020;2020:194599820944892.

    Google Scholar 

  35. Rosenthal LH, Benninger MS, Deeb RH. Vocal fold immobility: a longitudinal analysis of etiology over 20 years. Laryngoscope. 2007;117(10):1864–70.

    PubMed  Google Scholar 

  36. Gupta AK, Mann SB, Nagarkar N. Surgical management of bilateral immobile vocal folds and long-term follow-up. J Laryngol Otol. 1997;111(5):474–7.

    CAS  PubMed  Google Scholar 

  37. Abu Ghanem S, Junlapan A, Tsai SW, Shih LC, Sung CK, Damrose EJ. The clinical course of idiopathic bilateral vocal fold motion impairment in adults: case series and review of the literature. J Voice. 2020;34(3):465–70.

    PubMed  Google Scholar 

  38. Vance D, Heyd C, Pier M, Alnouri G, Sataloff RT. Paradoxical vocal fold movement: a retrospective analysis. J Voice. 2020;35(6):927–9.

    PubMed  Google Scholar 

  39. deSilva B, Crenshaw D, Matrka L, Forrest LA. Vocal fold botulinum toxin injection for refractory paradoxical vocal fold motion disorder. Laryngoscope. 2019;129(4):808–11.

    CAS  PubMed  Google Scholar 

  40. van der Graaff MM, Grolman W, Westermann EJ, Boogaardt HC, Koelman H, van der Kooi AJ, et al. Vocal cord dysfunction in amyotrophic lateral sclerosis: four cases and a review of the literature. Arch Neurol. 2009;66(11):1329–33.

    PubMed  Google Scholar 

  41. Hillel AD, Miller R. Bulbar amyotrophic lateral sclerosis: patterns of progression and clinical management. Head Neck. 1989;11(1):51–9.

    CAS  PubMed  Google Scholar 

  42. Hillel A, Dray T, Miller R, Yorkston K, Konikow N, Strande E, et al. Presentation of ALS to the otolaryngologist/head and neck surgeon: getting to the neurologist. Neurology. 1999;53(8 Suppl 5):S22–5; discussion S35–6.

    CAS  PubMed  Google Scholar 

  43. Copeman WS. Rheumatoid arthritis of the crico-arytenoid joints. Br Med J. 1957;1(5032):1398–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  44. Copeman WS, Elkin AC, Pearce R. A case of rheumatoid arthritis with ankylosis of the crico-arytenoid joints. Br Med J. 1959;1(5137):1575.

    CAS  PubMed  PubMed Central  Google Scholar 

  45. Eckel HE, Wittekindt C, Klussmann JP, Schroeder U, Sittel C. Management of bilateral arytenoid cartilage fixation versus recurrent laryngeal nerve paralysis. Ann Otol Rhinol Laryngol. 2003;112(2):103–8.

    PubMed  Google Scholar 

  46. Miller FR, Wanamaker JR, Hicks DM, Tucker HM. Cricoarytenoid arthritis and ankylosing spondylitis. Arch Otolaryngol Head Neck Surg. 1994;120(2):214–6.

    CAS  PubMed  Google Scholar 

  47. Saluja S, Singh RR, Misra A, Gairola AK, Prasad K, Ahuja GK, et al. Bilateral recurrent laryngeal nerve palsy in systemic lupus erythematosus. Clin Exp Rheumatol. 1989;7(1):81–3.

    CAS  PubMed  Google Scholar 

  48. Hussain SS. Relapsing polychondritis presenting with stridor from bilateral vocal cord palsy. J Laryngol Otol. 1991;105(11):961–3.

    CAS  PubMed  Google Scholar 

  49. Lahav Y, Shoffel-Havakuk H, Halperin D. Acquired glottic stenosis-the ongoing challenge: a review of etiology, pathogenesis, and surgical management. J Voice. 2015;29(5):646.e1–e10.

    PubMed  Google Scholar 

  50. Sandhu G, Nouraei SAR, Rovo L, Marie JP, Mueller AH, Castellanos PF. Bilateral impaired vocal cord mobility. In: Laryngeal and tracheobronchial stenosis. San Diego, CA: Plural Publishing; 2016. p. 195–7.

    Google Scholar 

  51. Dion GR, De la Chapa JS, Bettenhausen W, Dominguez LM, Simpson CB. Differing progression to posterior glottic stenosis in autoimmune and idiopathic subglottic stenosis. Laryngoscope. 2021;131(8):1816–20.

    PubMed  Google Scholar 

  52. Dean CM, Sataloff RT, Hawkshaw MJ, Pribikin E. Laryngeal sarcoidosis. J Voice. 2002;16(2):283–8.

    PubMed  Google Scholar 

  53. Butler CR, Nouraei SA, Mace AD, Khalil S, Sandhu SK, Sandhu GS. Endoscopic airway management of laryngeal sarcoidosis. Arch Otolaryngol Head Neck Surg. 2010;136(3):251–5.

    PubMed  Google Scholar 

  54. Phillips NM, Matthews E, Altmann C, Agnew J, Burns H. Laryngeal amyloidosis: diagnosis, pathophysiology and management. J Laryngol Otol. 2017;131(S2):S41–S7.

    CAS  PubMed  Google Scholar 

  55. Thompson LD, Derringer GA, Wenig BM. Amyloidosis of the larynx: a clinicopathologic study of 11 cases. Mod Pathol. 2000;13(5):528–35.

    CAS  PubMed  Google Scholar 

  56. Hazenberg AJ, Hazenberg BP, Dikkers FG. Long-term follow-up after surgery in localized laryngeal amyloidosis. Eur Arch Otorhinolaryngol. 2016;273(9):2613–20.

    PubMed  PubMed Central  Google Scholar 

  57. Rudy SF, Jeffery CC, Damrose EJ. Clinical characteristics of laryngeal versus nonlaryngeal amyloidosis. Laryngoscope. 2018;128(3):670–4.

    CAS  PubMed  Google Scholar 

  58. Bozzalla Cassione E, Stone JH. IgG4-related disease. Curr Opin Rheumatol. 2017;29(3):223–7.

    CAS  PubMed  Google Scholar 

  59. Matsushima K, Ohira S, Matsui H, Fukuo A, Honma N, Wada K, et al. IgG4-related disease with pseudotumor formation in the larynx. Auris Nasus Larynx. 2020;47(2):305–8.

    PubMed  Google Scholar 

  60. Shaib Y, Ton E, Goldschmeding R, Tekstra J. IgG4-related disease with atypical laryngeal presentation and Behcet/granulomatous polyangiitis mimicking features. BMJ Case Rep. 2013;2013:bcr2013009158.

    PubMed  PubMed Central  Google Scholar 

  61. Virk JS, Stamatoglou C, Kwame I, Salama A, Sandison A, Sandhu G. IgG4-sclerosing pseudotumor of the trachea: a case report and review of the literature. Arch Otolaryngol Head Neck Surg. 2012;138(9):864–6.

    PubMed  Google Scholar 

  62. Pihtili A, Bingol Z, Durmus H, Parman Y, Kiyan E. Vocal cord paralysis and hypercapnic respiratory failure in a patient with familial amyloidotic polyneuropathy. Intern Med. 2016;55(13):1783–6.

    CAS  PubMed  Google Scholar 

  63. Kosumi Y, Nakamura H, Watanabe R, Watanabe T, Horita T. Glossopharyngeal/vagus nerve disorder due to IgG4-related hypertrophic pachymeningitis. Rheumatology (Oxford). 2019; https://doi.org/10.1093/rheumatology/kez009.

  64. Conaghan P, Chung D, Vaughan R. Recurrent laryngeal nerve palsy associated with mediastinal amyloidosis. Thorax. 2000;55(5):436–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  65. Drenger B, Zidenbaum M, Reifen E, Leitersdorf E. Severe upper airway obstruction and difficult intubation in cicatricial pemphigoid. Anaesthesia. 1986;41(10):1029–31.

    CAS  PubMed  Google Scholar 

  66. Ito H, Suzuki K, Hoshino T, Nozue M. Total laryngeal stenosis in cicatricial pemphigoid. Auris Nasus Larynx. 1991;18(2):163–7.

    CAS  PubMed  Google Scholar 

  67. Cooper T, Dziegielewski PT, Singh P, Seemann R. Acromegaly presenting with bilateral vocal fold immobility: case report and review of the literature. J Voice. 2016;30(6):758.e13–6.

    PubMed  Google Scholar 

  68. Grotting JK, Pemberton JD. Fixation of the vocal cords in acromegaly. AMA Arch Otolaryngol. 1950;52(4):608–17.

    CAS  PubMed  Google Scholar 

  69. Murrant NJ, Gatland DJ. Respiratory problems in acromegaly. J Laryngol Otol. 1990;104(1):52–5.

    CAS  PubMed  Google Scholar 

  70. Levine RJ, Sanders AB, LaMear WR. Bilateral vocal cord paralysis following blunt trauma to the neck. Ann Emerg Med. 1995;25(2):253–5.

    CAS  PubMed  Google Scholar 

  71. Cheng J, Cooper M, Tracy E. Clinical considerations for blunt laryngotracheal trauma in children. J Pediatr Surg. 2017;52(5):874–80.

    PubMed  Google Scholar 

  72. Danic D, Prgomet D, Sekelj A, Jakovina K, Danic A. External laryngotracheal trauma. Eur Arch Otorhinolaryngol. 2006;263(3):228–32.

    PubMed  Google Scholar 

  73. Hillel AT, Karatayli-Ozgursoy S, Samad I, Best SR, Pandian V, Giraldez L, et al. Predictors of posterior glottic stenosis: a multi-institutional case-control study. Ann Otol Rhinol Laryngol. 2016;125(3):257–63.

    PubMed  Google Scholar 

  74. Lowery AS, Dion G, Thompson C, Weavind L, Shinn J, McGrane S, et al. Incidence of laryngotracheal stenosis after thermal inhalation airway injury. J Burn Care Res. 2019;40(6):961–5.

    PubMed  Google Scholar 

  75. Thaller SR, Gross JR, Pilch BZ, Goodman ML. Laryngeal tuberculosis as manifested in the decades 1963–1983. Laryngoscope. 1987;97(7 Pt 1):848–50.

    CAS  PubMed  Google Scholar 

  76. Bailey CM, Windle-Taylor PC. Tuberculous laryngitis: a series of 37 patients. Laryngoscope. 1981;91(1):93–100.

    CAS  PubMed  Google Scholar 

  77. Rouhani MJ, Clunie G, Thong G, Lovell L, Roe J, Ashcroft M, et al. A prospective study of voice, swallow and airway outcomes following tracheostomy for COVID-19. Laryngoscope. 2021;131(6):E1918–25.

    CAS  PubMed  Google Scholar 

  78. Feehery JM, Pribitkin EA, Heffelfinger RN, Lacombe VG, Lee D, Lowry LD, et al. The evolving etiology of bilateral vocal fold immobility. J Voice. 2003;17(1):76–81.

    PubMed  Google Scholar 

  79. Guimaraes AV, Dedivitis RA, Matos LL, Aires FT, Cernea CR. Comparison between transoral laser surgery and radiotherapy in the treatment of early glottic cancer: a systematic review and meta-analysis. Sci Rep. 2018;8(1):11900.

    PubMed  PubMed Central  Google Scholar 

  80. Eom JS, Kim B, Kim H, Jeon K, Um SW, Koh WJ, et al. Fibrotic airway stenosis following radiotherapy in patients with adenoid cystic carcinoma. Respirology. 2014;19(6):914–20.

    PubMed  Google Scholar 

  81. Gallo A, Pagliuca G, Greco A, Martellucci S, Mascelli A, Fusconi M, et al. Laryngotracheal stenosis treated with multiple surgeries: experience, results and prognostic factors in 70 patients. Acta Otorhinolaryngol Ital. 2012;32(3):182–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  82. Anschuetz L, Shelan M, Dematte M, Schubert AD, Giger R, Elicin O. Long-term functional outcome after laryngeal cancer treatment. Radiat Oncol. 2019;14(1):101.

    PubMed  PubMed Central  Google Scholar 

  83. Theunissen EA, Timmermans AJ, Zuur CL, Hamming-Vrieze O, Paul de Boer J, Hilgers FJ, et al. Total laryngectomy for a dysfunctional larynx after (chemo)radiotherapy. Arch Otolaryngol Head Neck Surg. 2012;138(6):548–55.

    PubMed  Google Scholar 

  84. Langman AW, Lee KC, Dedo HH. The endoscopic Teflon keel for posterior and total glottic stenosis. Laryngoscope. 1989;99(6 Pt 1):571–7.

    CAS  PubMed  Google Scholar 

  85. Bosley B, Rosen CA, Simpson CB, McMullin BT, Gartner-Schmidt JL. Medial arytenoidectomy versus transverse cordotomy as a treatment for bilateral vocal fold paralysis. Ann Otol Rhinol Laryngol. 2005;114(12):922–6.

    PubMed  Google Scholar 

  86. Kashima HK. Bilateral vocal fold motion impairment: pathophysiology and management by transverse cordotomy. Ann Otol Rhinol Laryngol. 1991;100(9 Pt 1):717–21.

    CAS  PubMed  Google Scholar 

  87. Lawson G, Remacle M, Hamoir M, Jamart J. Posterior cordectomy and subtotal arytenoidectomy for the treatment of bilateral vocal fold immobility: functional results. J Voice. 1996;10(3):314–9.

    CAS  PubMed  Google Scholar 

  88. Ossoff RH, Karlan MS, Sisson GA. Endoscopic laser arytenoidectomy. Lasers Surg Med. 1983;2(4):293–9.

    CAS  PubMed  Google Scholar 

  89. Yilmaz T, Suslu N, Atay G, Ozer S, Gunaydin RO, Bajin MD. Comparison of voice and swallowing parameters after endoscopic total and partial arytenoidectomy for bilateral abductor vocal fold paralysis: a randomized trial. JAMA Otolaryngol Head Neck Surg. 2013;139(7):712–8.

    PubMed  Google Scholar 

  90. Montgomery WW. Posterior and complete laryngeal (glottic) stenosis. Arch Otolaryngol. 1973;98(3):170–5.

    CAS  PubMed  Google Scholar 

  91. Goldberg AN. Endoscopic postcricoid advancement flap for posterior glottic stenosis. Laryngoscope. 2000;110(3 Pt 1):482–5.

    CAS  PubMed  Google Scholar 

  92. Rethi A. Losung der bei der beiderseitigen Postikuslahmung bestehenden medianlage. Mschr Ohr Laryngorhinol. 1922;56:200–4.

    Google Scholar 

  93. Schobel H. [Dilatation of the glottis in bilateral vocal cord paralysis. Review of various surgical procedures and a report of personal experience using a functional lateral fixation surgical technic]. HNO. 1986;34(12):485–95.

    Google Scholar 

  94. Woodson G, Weiss T. Arytenoid abduction for dynamic rehabilitation of bilateral laryngeal paralysis. Ann Otol Rhinol Laryngol. 2007;116(7):483–90.

    PubMed  Google Scholar 

  95. Rovo L, Madani S, Sztano B, Majoros V, Smehak G, Szakacs L, et al. A new thread guide instrument for endoscopic arytenoid lateropexy. Laryngoscope. 2010;120(10):2002–7.

    PubMed  Google Scholar 

  96. Marie JP, Hansen K, Brami P, Marronnier A, Bon-Mardion N. Nonselective reinnervation as a primary or salvage treatment of unilateral vocal fold palsy. Laryngoscope. 2020;130(7):1756–63.

    PubMed  Google Scholar 

  97. Tucker HM. Long-term results of nerve-muscle pedicle reinnervation for laryngeal paralysis. Ann Otol Rhinol Laryngol. 1989;98(9):674–6.

    CAS  PubMed  Google Scholar 

  98. Mueller AH. Laryngeal pacing for bilateral vocal fold immobility. Curr Opin Otolaryngol Head Neck Surg. 2011;19(6):439–43.

    PubMed  Google Scholar 

  99. Mueller AH, Hagen R, Pototschnig C, Foerster G, Grossmann W, Baumbusch K, et al. Laryngeal pacing for bilateral vocal fold paralysis: voice and respiratory aspects. Laryngoscope. 2017;127(8):1838–44.

    PubMed  Google Scholar 

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Rouhani, M.J., Sandhu, G. (2022). Glottic Airway Stenosis. In: Remacle, M., Eckel, H.E. (eds) Textbook of Surgery of Larynx and Trachea. Springer, Cham. https://doi.org/10.1007/978-3-031-09621-1_16

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