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New laryngoscope for endoscopic arytenoidectomies

Published online by Cambridge University Press:  15 October 2014

T Yilmaz*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
N Süslü
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
M D Bajin
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
R Ö Günaydin
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
S Özer
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
G Atay
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
*
Address for correspondence: Dr Taner Yılmaz, Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Faculty of Medicine, 06100 Sıhhiye, Ankara, Turkey Fax: +90 312 3113500 E-mail: [email protected]

Abstract

Objective:

During an endoscopic arytenoidectomy, an intubation tube must be elevated anteriorly with the laryngoscope to ensure an adequate surgical field. This paper describes a new laryngoscope that has a canal along the outer wall of the body and a ridge which runs along the canal.

Method:

Ten patients underwent endoscopic total arytenoidectomy using this new laryngoscope and 10 patients underwent the same operation using a regular laryngoscope.

Results:

The duration of all operations ranged between 25 and 65 minutes, with a median duration of 42.5 minutes. The median duration with the new laryngoscope was 39 minutes, and that with the regular laryngoscope was 49 minutes; this difference was statistically significant (p < 0.05).

Conclusion:

This new laryngoscope shortened the duration of the endoscopic arytenoidectomy and facilitated the procedure by enlarging the surgical field. This new laryngoscope may be a beneficial surgical instrument for posterior endoscopic laryngeal operations.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2014 

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Footnotes

Presented at the Fall Voice Conference, 4–6 October 2012, New York, New York, USA.

References

1Hillel, AD, Benninger, M, Blitzer, A, Crumley, R, Flint, P, Kashima, HK et al. Evaluation and management of bilateral vocal cord immobility. Otolaryngol Head Neck Surg 1999;121:760–5Google Scholar
2Crumley, RL. Endoscopic laser medial arytenoidectomy for airway management in bilateral laryngeal paralysis. Ann Otol Rhinol Laryngol 1993;102:81–4Google Scholar
3Young, VN, Rosen, CA. Arytenoid and posterior vocal fold surgery for bilateral vocal fold immobility. Curr Opin Otolaryngol Head Neck Surg 2011;19:422–7Google Scholar
4Bosley, B, Rosen, CA, Simpson, CB, McMullin, BT, Gartner-Schmidt, JL. Medial arytenoidectomy versus transverse cordotomy as a treatment for bilateral vocal fold paralysis. Ann Otol Rhinol Laryngol 2005;114:922–6CrossRefGoogle ScholarPubMed
5Thornell, W. A new intralaryngeal approach in arytenoidectomy in bilateral abductor paralysis of the vocal cords. Arch Otolaryngol 1949;50:634–9CrossRefGoogle ScholarPubMed
6Yılmaz, T. Endoscopic total arytenoidectomy for bilateral abductor vocal fold paralysis: a new flap technique and personal experience with 50 cases. Laryngoscope 2012;122:2219–26CrossRefGoogle ScholarPubMed
7Ossoff, RH, Karlan, MS, Sisson, GA. Posterior commissure laryngoscope for carbon dioxide laser surgery. Ann Otol Rhinol Laryngol 1983;92:361Google Scholar
8Kawaida, M, Fukuda, H, Kohno, N. Microlaryngosurgery for benign posterior glottal lesions using a posterior glottis direct laryngoscope. ORL J Otorhinolaryngol Relat Spec 2001;63:127–30Google Scholar