Artikel
Enhanced transoral access in microlaryngoscopic surgery using a combination of open laryngoscope with high frequency supraglottic jet ventilation
Suche in Medline nach
Autoren
Veröffentlicht: | 6. Juli 2010 |
---|
Gliederung
Text
Introduction: Transoral surgery in laryngeal and hypopharyngeal pathologies has become a standard procedure due to minimal trauma and good functional results. However, tube shaped laryngoscopes and intubation tubes restrict the exposition of the target structures.
Method: A commercially available open modular laryngoscope (FK-Laryngo-Pharyngoscope, Gyrus Medical GmbH) was combined with tubeless supraglottic jet ventilation (TwinStream, Carl Reiner GmbH) by means of a newly developed adapter which couples the respirator unit to the laryngoscope.
Results: To date, the technique was applied in benign and malignant laryngeal and hypopharyngeal tumors and in reconstructive laryngeal surgery.
Discussion: Combining an open modular laryngoscope with tubeless supraglottic jet ventilation results in a wider surgical field and better access to the target structures by an extended transoral approachability. The absence of a tube results in a shape of the glottal configuration which is closer to reality and therefore more helpful in optimizing the outcome of surgery.
References
- 1.
- Friedrich G, Mausser G, Gugatschka M. Die Jet-Ventilation in der operativen Laryngologie. HNO. 2008;56:1197-1206.