Variant of the Technique for Laryngeal Microsurgery in Cases of Difficult Laryngoscopy

• Published in: International Archives of Otorhinolaryngology Vol. 23; no. 1; pp. 018 - 024
• Main Authors: Setton, Antonio Roberto Ferreira, D'avila, Jeferson Sampaio, Gurgel, Ricardo Queiróz, Tsuji, Domingos Hiroshi, D'avila, Daniel Vasconcelos, Góis, Carlos Rodolfo Tavares de, Meurer, Ana Taise de Oliveira, Gurgel, Helaina Peixoto
• Format: Journal Article
• Language: English
• Published: Rio de Janeiro, Brazil Thieme Revinter Publicações Ltda 01-01-2019; Fundação Otorrinolaringologia
• Subjects: endoscopy; larynx; Original Research; OTORHINOLARYNGOLOGY; surgery; technical variant; larynx; endoscopy; technical variant; surgery
• ISSN: 1809-9777; 1809-4864; 1809-4864
• DOI: 10.1055/s-0038-1660825

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.