To Tube, or Not to Tube: Comparing Ventilation Techniques in Microlaryngeal Surgery

2021 ◽  
Author(s):  
Mausumi N. Syamal ◽  
Jill Hanisak ◽  
Jennifer Macfarlan ◽  
Briana Ortega ◽  
Robert T. Sataloff ◽  
...  
2003 ◽  
Vol 54 (3) ◽  
pp. 214-218
Author(s):  
Kentaro Sato ◽  
Makito Okamoto ◽  
Koichiro Nishiyama ◽  
Masatoshi Hirayama ◽  
Hajime Hirose

1974 ◽  
Vol 83 (3) ◽  
pp. 360-364 ◽  
Author(s):  
Edward Carden ◽  
George B. Ferguson ◽  
William M. Crutchfield

A new special endotracheal tube for ventilating patients during microlaryngeal surgery is described. It is 6.25 cm long, made of silicone elastomer and has a “soft” cuff built onto it. It is placed below the patient's cords and the cuff blown up while the patient is paralyzed, and under anesthesia. The patient's lungs can be ventilated by jetting oxygen from the jet tube which is built into it. While the oxygen is not flowing the patient can passively exhale through the tube and cords. Obstruction to the surgical field is minimal and consists of the cuff inflating tube .08 cm in diameter and the jet tube .25 cm in diameter which will be in the posterior commissure out of the way. The tube is designed in such a way that both during inflation and exhalation gas is blown out through the cords to help to blow blood and debris away from the operating field.


1992 ◽  
Vol 101 (1) ◽  
pp. 51-60 ◽  
Author(s):  
Eiji Yanagisawa ◽  
Ken Yanagisawa ◽  
Jay B. Horowitz ◽  
Lawrence J. Mambrino

A new approach to microlaryngeal surgery using a specially designed video microlaryngoscope with a rigid endoscopic telescope and an attached video camera was introduced by Kantor et al in 1990. The ability to video document and perform surgery of the larynx by viewing a high-resolution television image was demonstrated. This method was recommended over the standard microscopic technique for increased visibility with greater depth of field, unimpeded instrument access, instant documentation, and superior teaching value. The authors tried this new method and the standard microscopic technique at the same sitting on a series of patients. This paper will compare these two different techniques and discuss their advantages and disadvantages. Although the new method has many advantages, the standard microscopic technique remains as a valuable method in laryngeal surgery.


1980 ◽  
Vol 53 (4) ◽  
pp. 355-355 ◽  
Author(s):  
Luis E. Torres G ◽  
Robert C. Reynolds

2020 ◽  
Vol 16 (3) ◽  
pp. 9
Author(s):  
Ts. Marinov ◽  
M. Belitova ◽  
T. Popov ◽  
N. Nizamova ◽  
J. Rangachev ◽  
...  

2020 ◽  
Vol 16 (3) ◽  
pp. 35
Author(s):  
Ts. Marinov ◽  
M. Belitova ◽  
T. Popov ◽  
N. Nizamova ◽  
J. Rangachev ◽  
...  

2011 ◽  
Vol 1 (2) ◽  
pp. 61-64 ◽  
Author(s):  
Pankaj Kumar Doloi ◽  
Swagata Khanna

ABSTRACT A two-year prospective study was conducted from June 2008 to May 2010. A total of 80 patients with benign laryngeal lesions were included in the study based on symptoms, such as hoarseness of voice, foreign body sensation, vocal fatigue, dyspnea and cough and with positive clinical findings on indirect laryngoscopy. Diagnostic and therapeutic laryngoscopic and microlarygoscopic procedures were employed. Vocal cord polyps were observed to be the commonest type of lesions. Out of the 80 patients in the study group, 40% patients got complete relief with voice rest and vocal rehabilitation; 60% patients required surgery, which included endoscopic/microlarygoscopic endolaryngeal surgery and external approaches. There was no recurrence in cases of vocal polyps and nodules during the period of observation. Endolaryngeal surgery and voice rest offer a cost-effective, useful and safe method for the management of benign laryngeal lesions. With the inclusion of lasers, they can be more precisely operated. As such, the standard treatment of choice in all types of benign tumors of the larynx should consist of a triad of approach by microlaryngeal surgery (either microscopic or endoscopic, with or without use of lasers), voice rest and vocal rehabilitation.


2015 ◽  
Vol 3 (1) ◽  
pp. 19
Author(s):  
Nyilo Purnami ◽  
Rizka Fathoni

A case of respiratory papillomatosis was reported. The patient suffered from the disease since eight months old with chief complaint progressive hoarseness and dyspnea. It was diagnosed with respiratory papillomatosis and scheduled for performing tracheotomy and continued with the first microlaryngeal surgery (MLS). Decanulation was taken after 2nd surgery of removing papillomas. Finally was reported she got serial of surgery for 22 times during 18 years of age. It was costly and deteriorating quality of life. The problem remains persisted because of frequent recurrences and need for repetitive surgeries. Specimen biopsy for histologic examination was shown the signs of HPV infection, papilomatic coated squamous epithel with mild dysplasia and coilocytosis. The threatening of upper airway obstruction is the main important reason for patient's coming. The patency of airway assessed by Direct Laryngoscopy then the next treatment was decided with schedule of Micro Laryngeal Surgery (MLS). Finally the MLS treatment is just only for temporarilyrecovery. A further research to define the proper treatment in the future is required, especially for prevention of the diseases related to the viral causes of infection.


Sign in / Sign up

Export Citation Format

Share Document