The first eletrocnic Journal of Otolaryngology in the world
ISSN: 1809-9777

E-ISSN: 1809-4864

 
2269 

Year: 2019  Vol. 23   Num. 1  - Jan/Mar - (4º)
DOI: 10.1055/s-0038-1660825
Section: Original Article
 
Variant of the Technique for Laryngeal Microsurgery in Cases of Difficult Laryngoscopy
Author(s):
Antonio Roberto Ferreira Setton, Jeferson Sampaio D'avila, Ricardo Queiróz Gurgel, Domingos Hiroshi Tsuji, Daniel Vasconcelos D'avila, Carlos Rodolfo Tavares de Góis, Ana Taise de Oliveira Meurer, Helaina Peixoto Gurgel
Key words:
surgery - endoscopy - larynx - technical variant
Abstract:

Introduction Low exposure of the larynx can make laryngeal microsurgery difficult or even impossible. The application of rigid and contact endoscopy enabled oblique and retrograde angled visualization, allowing transoperative staging with greater reach of the anatomical areas. However, there is difficulty or even impossibility of performing the surgical act, due to the incompatibility of the angled path with the straight surgical tools.

Objective To demonstrate the efficiency of the variant of the technique for laryngeal microsurgery in cases of difficult laryngoscopy and to analyze the new surgical instruments specific to the endoscopic procedure.

Methods This is a cross-sectional retrospective study, based on the analysis of 30 medical records of patients treated surgically at a philanthropic hospital in the state of Sergipe, Brazil, between the years of 2014 and 2015.

Results The technical variant used 30- and 70-degree endoscopes that provided complete oblique view of the endolarynx. The association of angled instruments (forceps, suction pumps, retractors and scissors) enabled the execution of the surgical procedures.

Conclusion The association of rigid endoscopy with angled instruments promoted full visualization of the surgical lesion and operative resolution.

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