Subplatysmal Endoscopic Guided Endotracheal Tube Cuff Inflation Facilitates Working Space Creation in Transoral Endoscopic Thyroidectomy, A Novel Technique
Journal Title: International Journal of Surgery & Surgical Techniques - Year 2020, Vol 4, Issue 1
Abstract
Transoral endoscopic thyroidectomy is a natural orifice thyroid surgery, minimally invasive and completely scar free. However, the working space of this procedure is relatively small and is also difficult to create compared with that of other remote-access thyroidectomy procedures. Hence, we described a new modification using endotracheal tube cuff inflation guided by an endoscope to create initial subplatysmal working space under direct vision. In this study, we first created a tract from the chin to just distal to the thyroid cartilage, after which a cuffed endotracheal tube was inserted through the middle oral vestibular incision and guided by endoscope for correct position. Sequential cuff inflations were performed to dilate the entire subplatysmal tunnel. Subplatysmal endoscopic guided endotracheal tube cuff inflation is a simple and effective method for creation of larger initial working space in transoral thyroidectomy with less blind blunt tissue dissection, that. greatly facilitating subsequent trocar insertion and further dissection.
Authors and Affiliations
Kadem SG*, Mohamd SA and Jawad MM
Keywords
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- EP ID EP747093
- DOI 10.23880/ijsst-16000142
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