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Variant of the Technique for Laryngeal Microsurgery in Cases of Difficult Laryngoscopy
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.
Afiliação
  • Setton, Antonio Roberto Ferreira; Universidade Federal de Sergipe. Faculty of Medicine. Department of Otorhinolaryngology. Aracaju. BR
  • D'avila, Jeferson Sampaio; Universidade Federal de Sergipe. Faculty of Medicine. Department of Otorhinolaryngology. Aracaju. BR
  • Gurgel, Ricardo Queiróz; Universidade Federal de Sergipe. Department of Pediatrics. Aracaju. BR
  • Tsuji, Domingos Hiroshi; Universidade de São Paulo. Faculty of Medicine. Department of Otorhinolaryngology. São Paulo. BR
  • D'avila, Daniel Vasconcelos; Universidade de São Paulo. Faculty of Medicine. Department of Otorhinolaryngology. São Paulo. BR
  • Góis, Carlos Rodolfo Tavares de; Universidade Federal de Sergipe. Faculty of Medicine. Department of Otorhinolaryngology. Aracaju. BR
  • Meurer, Ana Taise de Oliveira; Universidade Federal de Sergipe. Faculty of Medicine. Department of Medicine. Aracaju. BR
  • Gurgel, Helaina Peixoto; Universidade Federal de Sergipe. Faculty of Medicine. Department of Medicine. Aracaju. BR
Int. arch. otorhinolaryngol. (Impr.) ; 23(1): 18-24, Jan.-Mar. 2019. tab, graf
Article em En | LILACS | ID: biblio-1002171
Biblioteca responsável: BR66.1
ABSTRACT
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. (AU)
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Laringoscopia / Microcirurgia Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int. arch. otorhinolaryngol. (Impr.) Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Laringoscopia / Microcirurgia Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int. arch. otorhinolaryngol. (Impr.) Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil