Simple method to control laryngeal overspill in tracheostomized patients.

An inflatable balloon was inserted through a pre-existing tracheostomy to occlude the upper trachea. This technique controlled previously intractable laryngeal overspill for a period of three months in a patient with inoperable carcinoma of the larynx.

A new technique for the management of urethral injuries.

A new technique for the management of urethral trauma is described. Initial suprapubic catheterisation is followed by endoscopic assessment after approximately 2 weeks. Realignment over a splinting catheter may then be achieved by instrumentation and endoscopy via both suprapubic and urethral routes. The development of the technique and the early results of a small series of patients are presented.