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Prosecutor Shaun Dodds said other family members pulled Burton off as he was again pressing his thumb into the man's windpipe.
It is caused by weaknesses or defects in the cartilage that holds the windpipe open.
In those, using the drugs for three years or more the risk of cancerous growths in the mouth, nose and windpipe appeared to treble.
The paramedics dislodged the bone that was stuck in my windpipe, and I just started shaking and crying because I couldn't calm down.
A four inch tube has now been fitted to keep the 16-year-old's windpipe open.
The medical report confirmed that the death was natural due to an acute deterioration in blood circulation and stoppage of breathing because the windpipe had got blocked.
While only a handful of patients have received the British lab-made organs so far including tear ducts, blood vessels and windpipes researchers hope they will soon be able to transplant more types of body parts into patients, including what would be the world's first nose made partly from stem cells.
But he hopes his recently published memoir will preserve the technique that has cleared obstructions from windpipes of choking victims around the world for four decades and made his name a household word.
Laryngotracheal surgery involves placing small, precise pieces of cartilage taken from the ribs into the windpipe to widen the airway.
When looking at the dangerous effects of windpipe smoking versus cigarettes, one needs to consider the temperature at which the tobacco burns in both, which I believe is different.
In a nine-hour surgery on April 9, the bio-engineered windpipe was placed inside Hannah.