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81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Enhanced transoral access in microlaryngoscopic surgery using a combination of open laryngoscope with high frequency supraglottic jet ventilation

Meeting Abstract

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  • corresponding author presenting/speaker Friedemann Pabst - KH Dresden-Friedrichstadt, HNO-Klinik, Dresden, Germany
  • Eckart Klemm - KH Dresden-Friedrichstadt, HNO-Klinik, Dresden, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno012

DOI: 10.3205/10hno012, URN: urn:nbn:de:0183-10hno0124

Published: July 6, 2010

© 2010 Pabst et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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.