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

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Date
2019-01
Author
Setton, Antonio Roberto Ferreira
Author
D'avila, Jeferson Sampaio
Author
Gurgel, Ricardo Queiróz
Author
Tsuji, Domingos Hiroshi
Author
D'avila, Daniel Vasconcelos
Author
Góis, Carlos Rodolfo Tavares de
Author
Meurer, Ana Taise de Oliveira
Author
Gurgel, Helaina Peixoto
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Artigo
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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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Int Arch Otorhinolaryngol. 2019 Jan;23(1):18-24. doi: 10.1055/s-0038-1660825.
xmlui.dri2xhtml.METS-1.0.item-source-uri
https://doi.org/10.1055/s-0038-1660825
Subject
Surgery
 
Endoscopy
 
Larynx
 
Technical Variant
 
URI
http://digital.bibliotecaorl.org.br/handle/forl/443
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Contact Us | Send Feedback

Divisão de Biblioteca e Documentação do Departamento
de Otorrinolaringologia da Faculdade de Medicina USP

Rua Artur de Azevedo, 46 CEP: 05404-000 São Paulo/SP - Brasil

Tel: (11) 3062-4097 Email: biblioteca@forl.org.br

Medicina USPFORL
Desenvolvido por Logo DGL Sistemas