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A novel distending laryngoscope: implications in transoral surgery

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Abstract

The objective is to describe an innovative laryngoscope developed to improve visualization, provide greater exposure, and enhance precision and success during transoral procedures. A retrospective review of 170 patients who underwent transoral surgery with a new distending laryngoscope was conducted. We compared and contrasted our exposure within the oropharynx, hypopharynx, and larynx using the laryngoscope with that of currently available instrumentation. Specific mechanical dimensions of the laryngoscope along with the provided working field were calculated. Experience with the new laryngoscope afforded improved exposure over currently available instrumentation. This laryngoscope was manufactured using design elements from the Steiner, Weerda, and Lindholm laryngoscopes, including an anteriorly curved distal tip, distending capability, and lateral wings to protect against tongue herniation. The panoramic view was increased allowing for wider exposure of the supraglottis and pharynx. This design provided enhanced transoral visibility and working room for improved bimanual instrumentation. Direct laryngoscopic technique and instrumentation have continued to evolve. Over the last two decades, there has been a significant movement towards minimally invasive transoral surgical techniques fueling innovative concepts and advancement in laryngoscopic design and application. We present our experience with an innovative laryngoscope allowing for improved visualization, greater exposure, and enhanced proficiency with transoral technique.

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Conflict of interest

Karl Storz (Germany) is the manufacturer of the laryngoscope and has been licensed to Mayo Clinic with no monetary compensation. No other conflicts of interest exist.

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Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, Mayo Clinic Arizona, 5777 East Mayo Blvd., Phoenix, AZ, 85054, USA

    Michael L. Hinni, Alpen B. Patel, Thomas H. Nagel & Brittany E. Howard

Authors
  1. Michael L. Hinni
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  2. Alpen B. Patel
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  3. Thomas H. Nagel
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  4. Brittany E. Howard
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Correspondence to Alpen B. Patel.

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Hinni, M.L., Patel, A.B., Nagel, T.H. et al. A novel distending laryngoscope: implications in transoral surgery. Eur Arch Otorhinolaryngol 273, 1095–1098 (2016). https://doi.org/10.1007/s00405-015-3517-9

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  • DOI: https://doi.org/10.1007/s00405-015-3517-9

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