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Journal articles on the topic 'Laryngoscopie en suspension'

Author: Grafiati

Published: 4 June 2021

Last updated: 8 February 2022

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1

El Harrar, N., K. Mjahed, B. Idali, A. Harti, H. Louardi, and M. Benaguida. "Propofol versus midazolam pour laryngoscopie en suspension." Urgences Médicales 15, no. 1 (January 1996): 18–20. http://dx.doi.org/10.1016/0923-2524(96)84584-x.

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2

Benjamin, Bruce, and Carl-Eric Lindholm. "Systematic Direct Laryngoscopy: The Lindholm Laryngoscopes." Annals of Otology, Rhinology & Laryngology 112, no. 9 (September 2003): 787–97. http://dx.doi.org/10.1177/000348940311200908.

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The authors, each with 40 years of experience in laryngology, aim to lay out the general principles and details of a systematic method of direct laryngoscopy for adults, children, and infants. Advances in laryngoscope design and application, advantages of telescopes, use of the operating microscope, and principles of modern anesthesia are highlighted. Particular reference is made to classification of laryngoscopes, advantages of Lindholm laryngoscopes, suspension laryngoscopy, the principles of biopsy, and problems of laryngoscopy. The difficult airway and the obstructed airway are discussed in detail. With the recent renewed interest in investigation and treatment of laryngeal problems and a better understanding of laryngeal physiology and voice production, the future will, no doubt, see new procedures to treat and restore laryngeal function. The fundamentals in this report form a basis for direct laryngoscopy, endolaryngeal microsurgery, laser surgery, and phonosurgery.

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3

Isaacson, G., D. C. Ianacone, and A. M. S. Soliman. "Ex vivoovine model for suspension microlaryngoscopy training." Journal of Laryngology & Otology 130, no. 10 (August 30, 2016): 939–42. http://dx.doi.org/10.1017/s0022215116008756.

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AbstractObjective:To develop an ovine model for teaching suspension laryngoscopy and phonosurgery.Methods:The head and neck from 10 pre-pubescent sheep were harvested following humane euthanasia at the end of anin vivoprotocol. No live animals were used in this study. The tissues were saline-perfused and refrigerated for 1–5 days. Suspension laryngoscopy was performed using adolescent Parsons and adult Kantor-Berci laryngoscopes suspended with a Benjamin-Parsons laryngoscope holder. Visualisation was achieved with 0° and 30° telescopes, and a three-chip camera and video system. Shapshay-Ossoff microlaryngeal instruments were used for endolaryngeal dissection.Results:Experienced laryngologists led a second year medical student through several procedures including injection laryngoplasty, hydrodissection and incision, endolaryngeal suturing, and partial cordectomy. Despite expected anatomical differences, the model proved highly realistic for suspension microlaryngoscopy.Conclusion:The sheep head and neck model provides an inexpensive, safe model for developing skills in suspension laryngoscopy and basic phonosurgery.

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Marcaire, F., F. P. Desgranges, S. Burgal, D. Rousson, S. Ayari, M. De Queiroz, A. Heilporn, K. Berrada, D. Chassard, and O. Rhondali. "Événements cardiorespiratoires peropératoires dans le cadre de la microchirurgie laryngée avec laser sous-laryngoscopie en suspension en ventilation spontanée chez l’enfant de moins de deux ans." Annales Françaises d'Anesthésie et de Réanimation 32 (September 2013): A29—A30. http://dx.doi.org/10.1016/j.annfar.2013.07.074.

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5

Xidong, Cui, Zhao Xia, Xu Chenjie, Yan Wenhong, Yan Huichang, and Jiang Jiaqi. "Management of difficult suspension laryngoscopy using a GlideScope® Video Laryngoscope." Acta Oto-Laryngologica 132, no. 12 (August 5, 2012): 1318–23. http://dx.doi.org/10.3109/00016489.2012.703326.

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6

Taliercio, Salvatore, Brian Sanders, Stratos Achlatis, Yixin Fang, Ryan Branski, and Milan Amin. "Factors Associated With the Use of Postoperative Analgesics in Patients Undergoing Direct Microlaryngoscopy." Annals of Otology, Rhinology & Laryngology 126, no. 5 (February 1, 2017): 375–81. http://dx.doi.org/10.1177/0003489417693862.

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Objective: Morbidity associated with suspension laryngoscopy has been well documented. However, standard of care with regard to postoperative analgesia has not been described, and anecdotal evidence suggests wide variability with regard to postoperative narcotic and non-narcotic recommendations. We sought to quantify the postoperative course following suspension microlaryngoscopy by relating patient-based and intraoperative measures with analgesic use. Methods: Body mass index (BMI), Friedman tongue position (FTP), and Mallampati scores as well as laryngoscope type, number of attempts required for optimal visualization, and suspension time were documented in 50 consecutive patients undergoing routine suspension microlaryngoscopy. Postoperative symptoms and analgesic use was queried on postoperative days 1, 3, and 10. Results: In this cohort, 62.5% employed postoperative analgesia. However, only 20% required narcotics. No difference in suspension time was identified in those taking analgesics (33.0 vs 37.3 minutes, P = .44). In addition, no relationship between procedure type and the need for analgesia was noted. The majority of patients (76%) described sore throat persisting for 3 postoperative days; 36% reported sore throat persisting beyond postoperative day 3. Conclusions: The majority of patients undergoing microlaryngoscopy reported discomfort, but symptoms were largely ameliorated with over-the-counter analgesics. Routine prescription of narcotics following routine suspension laryngoscopy may be unnecessary.

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7

Friedrich, Gerhard, Karl Kiesler, and Markus Gugatschka. "Curved rigid laryngoscope: missing link between direct suspension laryngoscopy and indirect techniques?" European Archives of Oto-Rhino-Laryngology 266, no. 10 (April 7, 2009): 1583–88. http://dx.doi.org/10.1007/s00405-009-0974-z.

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8

V, Phaniendrakumar, RamachandRamachandrareddyrareddy S, Ravindranath TA, and Krishnamohan K. "Awake office based trans nasal flexible endoscopic diode laser assisted posterior cordotomy for bilateral vocal fold paralysis." Journal of Otolaryngology-ENT Research 12, no. 04 (August 31, 2020): 145–49. http://dx.doi.org/10.15406/joentr.2020.12.00473.

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Purpose: The purpose of this retrospective study is to describe our experiencewith the new technique of Awake office based flexible endoscopic diode laser assisted posterior cordotomy for bilateral vocal fold paralysis. The technique was primarily designed as an alternative to traditional micro suspension CO2 posterior cordotomy for patients of bilateral vocal fold paralysis when associated with co morbidity leading to either difficulty for suspension laryngoscopy or high risk for general anesthesia. Material and methods: The study was carried out on 20 patients of Bilateral Vocal Fold Paralysis associated with co morbidity with limitations for Micro suspension cordotomy. 12 patients were females and 8 patients were males in the age group of 25 and 75 years, attending Sri Sathya Sai E.N.T Hospital and Research Center for Voice Disorders, India from January 2012 to January 2017. All the patients were operated by posterior cordotomy done in office based setup under local anesthesia using Fiberoptic fiberoptic flexible laryngoscope and diode fiberlaser. Results: Results proved the efficacy of the procedure based on the pre and postoperative Pulmonary Function Tests and Voice Handicap Index scores which were statistically significant. Conclusion: The new technique was proved as safe and perfect alternative to traditional micro suspension cordotomy in patients of bilateral vocal fold paralysis associated with comorbities leading to either difficulty for suspension laryngoscopy or high risk for general anesthesia. The study also described it’s advantages such as conservation of voice by avoiding the over correction of glottic space by monitoring the voice intraoperatively and feasibility for revision cordotomy in the Office basis.

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9

Zeitels, Steven M., James A. Burns, and Seth H. Dailey. "Suspension Laryngoscopy Revisited." Annals of Otology, Rhinology & Laryngology 113, no. 1 (January 2004): 16–22. http://dx.doi.org/10.1177/000348940411300104.

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10

Glassman, Sheryl H., Michael S. Green, and Melissa Brodsky. "Asystole following Reintubation during Suspension Laryngoscopy." Case Reports in Anesthesiology 2012 (2012): 1–2. http://dx.doi.org/10.1155/2012/916306.

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Transient increase in heart rate and mean arterial pressure commonly occur during manipulation of the airway via direct laryngoscopy. This phenomenon is understood to be due to a sympathetic nervous system reflex causing an increase in plasma catecholamines. Rarely, severe bradycardia and possible asystole can occur following laryngoscopy. One previous report described asystole during suspension laryngoscopy after uneventful direct laryngoscopy. Here we report a case of asystole occurring at the time of reinsertion and cuff inflation of an endotracheal tube in a patient who had been hemodynamically stable during initial direct laryngoscopy and the ensuing suspension laryngoscopy. The asystole was immediately recognized and successful cardiopulmonary resuscitation was performed with the patient returning to baseline sinus rhythm. Cardiac arrest following laryngoscopy is rare. This case highlights the importance of continued vigilance even after the initial manipulations of the airway by both direct laryngoscopy and suspension laryngoscopy are to be performed. Identifying patients who may benefit from premedication with a vagolytic drug may prevent adversity. Preoperative heart rate analysis can identify patients with strong vagal tone.

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11

Cinar, Ugur, Gokhan Akgul, Huseyin Seven, Munevver Celik, Surhan Cinar, and Burhan Dadas. "Determination of the changes in the hypoglossal nerve function after suspension laryngoscopy with needle electromyography of the tongue." Journal of Laryngology & Otology 118, no. 4 (April 2004): 289–93. http://dx.doi.org/10.1258/002221504323012049.

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The purpose of this study was to determine changes in the hypoglossal nerve function after suspension laryngoscopy with needle electromyography of the tongue. This study also attempted to determine the possible relationship between the predictive factors of intubation difficulty by using the intubation difficulty scale, which was introduced by Adnet et al., duration of suspension laryngoscopy and changes in hypoglossal nerve function after suspension laryngoscopy. The study was performed on 39 patients who underwent suspension laryngoscopy for benign glottic pathology. Pre-operative airway assessment was evaluated by the intubation difficulty scale and the duration of suspension laryngoscopy was recorded. Needle electromyography of the tongue was performed three or four weeks after the suspension laryngoscopy. After needle electromyography of the tongue, increased polyphasia was found in 13 patients (33 per cent), bilaterally in three of them. The interference pattern was reduced in two of these 13 patients. There was no statistically significant difference in predictive factors of intubation difficulty and the duration of the operation between these 13 patients with increased polyphasiaand the remaining 26 patients with completely normal electromyography findings. These findings show that, in spite of normal clinical tongue function, subclinical changes can be detected by needle electromyography of the tongue after suspension laryngoscopy.

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12

Klussmann, Jens Peter, Robert Knoedgen, Michael Damm, Claus Wittekindt, and Hans Edmund Eckel. "Complications of Suspension Laryngoscopy." Annals of Otology, Rhinology & Laryngology 111, no. 11 (November 2002): 972–76. http://dx.doi.org/10.1177/000348940211101104.

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Although suspension laryngoscopy (SL) is routinely used in operative laryngology, no prospectively gathered data on the complications of this procedure have so far been available. We prospectively analyzed 339 consecutive procedures for ***intervention-related complications. The survey included preoperative dental status and assessment of postoperative dental, mucosal, and nerve injuries. Minor mucosal lesions were found in 75% of all patients. All healed spontaneously within a few days. Dental injuries occurred in 6.5% of all patients. These were more frequent in therapeutic laryngoscopy than in diagnostic procedures (6.8% versus 6.0%). Highly significant correlations were found between dental injury rate and preoperative dental disease (p < .04) and grade of periodontitis (p < .001). Temporary nerve lesions were observed in 13 patients (9 of the lingual nerve and 4 of the hypoglossal nerve). Although minor complications frequently occur during SL, it is a relatively safe procedure with a low risk of significant morbidity.

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13

Larner, Sean P., Rick A. Fornelli, and Shane D. Griffith. "Consistent Technique Limits Suspension Laryngoscopy Complications." International Archives of Otorhinolaryngology 23, no. 03 (May 28, 2019): e305-e310. http://dx.doi.org/10.1055/s-0039-1684036.

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Introduction Suspension laryngoscopy (SL) is a commonly performed procedure among otolaryngologists. Several studies have shown that adverse effects occur regularly with SL. Objective To evaluate the postoperative complications of SL, and to determine if protecting the dentition and the oral mucosa and limiting suspension times decrease the overall incidence of oral cavity and pharyngeal complications of SL. Methods All of the cases of SL performed by 1 surgeon from November 2008 through September 2014 were retrospectively reviewed. A consistent technique for dental and mucosal protection was utilized, and suspension times were strictly limited to 30 consecutive minutes. The incidence of postoperative complications was calculated and analyzed with respect to gender, smoking status, dentition, laryngoscope type, and suspension system. Results A total of 213 consecutive SL cases were reviewed, including 174 patients (94 male, 80 female). The overall postoperative complication rate was of 3.8%. Four patients experienced tongue-related complications, two experienced oral mucosal alterations, one had a dental injury, and one experienced a minor facial burn. The complication incidence was greater with the Zeitels system (12.5%) compared with the Lewy suspension system (3.3%), although it was not significant (p = 0.4). Likewise, the association of complications with other patient factors was not statistically significant. Conclusion Only 8 out of 213 cases in the present series experienced complications, which is significantly less than the complication rates observed in other reports. Consistent and conscientious protection of the dentition and of the oral mucosa and limiting suspension times to 30 minutes are factors unique to our series that appear to reduce complications in endolaryngeal surgery.

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14

Eckel, Hans Edmund, Shahindocht Berendes, Michael Damm, Jens Peter Klussmann, and Klaus Wassermann. "Suspension Laryngoscopy for Endotracheal Stenting." Laryngoscope 113, no. 1 (January 2003): 11–15. http://dx.doi.org/10.1097/00005537-200301000-00002.

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15

ECKEL, H., K. WASSERMANN, M. JUNGEHUELSING, and M. DAMM. "Suspension laryngoscopy for endotracheal stenting." Otolaryngology - Head and Neck Surgery 117, no. 2 (August 1997): P156. http://dx.doi.org/10.1016/s0194-5998(97)80307-5.

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16

dos Anjos Corvo, Marco Antonio, Alessandra Inacio, Marina Bacal de Campos Mello, Cláudia Alessandra Eckley, and André de Campos Duprat. "Extra-laryngeal complications of suspension laryngoscopy." Brazilian Journal of Otorhinolaryngology 73, no. 6 (November 2007): 727–32. http://dx.doi.org/10.1016/s1808-8694(15)31167-8.

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17

Latuska, Richard F., Nicholas O. Kuhl, C. Gaelyn Garrett, James M. Berry, and Alexander Gelbard. "Severe bradycardia associated with suspension laryngoscopy." Laryngoscope 126, no. 4 (November 3, 2015): 949–50. http://dx.doi.org/10.1002/lary.25590.

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18

Onal, Merih, and Ozkan Onal. "Different suspension systems may affect complication rates in suspension laryngoscopy." American Journal of Otolaryngology 42, no. 2 (March 2021): 102906. http://dx.doi.org/10.1016/j.amjoto.2021.102906.

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19

Ko, Hyo Bin, Dong Yeol Lee, and Yong Cheol Lee. "Severe bradycardia during suspension laryngoscopy performed after tracheal intubation using a direct laryngoscope with a curved blade -A case report-." Korean Journal of Anesthesiology 59, no. 2 (2010): 116. http://dx.doi.org/10.4097/kjae.2010.59.2.116.

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Kanagalingam, J., R. Hurley, H. R. Grant, and A. Patel. "A new technique for the management of inaccessible anterior glottic lesions." Journal of Laryngology & Otology 117, no. 4 (April 2003): 302–6. http://dx.doi.org/10.1258/00222150360600922.

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We describe a new technique for removing anterior vocal fold lesions, which cannot be visualized with conventional suspension laryngoscopy. These situations are rare and the only alternative surgeons have had previously is an open laryngeal procedure. The technique we describe involves the use of a laryngeal mask airway (LMA), a flexible bronchoscope with biopsy channel, a 400 μm laser fibre and KTP/532 nm laser. This method was used to treat two patients in whom conventional suspension laryngoscopy had previously been attempted and abandoned.

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Wenig, B. L., N. Raphael, J. R. Stern, M. J. Shikowitz, and A. L. Abramson. "Cardiac Complications of Suspension Laryngoscopy: Fact or Fiction?" Archives of Otolaryngology - Head and Neck Surgery 112, no. 8 (August 1, 1986): 860–62. http://dx.doi.org/10.1001/archotol.1986.03780080060013.

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22

Rosen, Clark A., Pedro A. Andrade Filho, Lucia Scheffel, and Robert Buckmire. "Oropharyngeal Complications Of Suspension Laryngoscopy: A Prospective Study." Laryngoscope 115, no. 9 (September 2005): 1681–84. http://dx.doi.org/10.1097/01.mlg.0000175538.89627.0d.

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23

Xu, Shengqun, Yongqiang Yu, Hamdy ElHakim, Xiangguo Cui, and Huaian Yang. "The Therapeutic Effect of the Combination of Intratumor Injection of Bleomycin and Electroresection/Electrocautery on the Hemangiomas in Hypopharynx and Larynx Through Suspension Laryngoscopy." Annals of Otology, Rhinology & Laryngology 128, no. 6 (February 19, 2019): 575–80. http://dx.doi.org/10.1177/0003489419831715.

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Objectives: The treatment of hemangiomas in the hypopharynx and larynx can be challenging and stressful because of the high tumor recurrence rate. The objective of this study was to investigate the therapeutic effect of the combination of intratumor injection of bleomycin and electroresection/electrocautery on the hemangiomas in the hypopharynx and larynx through suspension laryngoscopy. Methods: With patients under general anesthesia, the hemangiomas were fully exposed through suspension laryngoscopy. After intratumor injection of bleomycin, in some patients, the hemangiomas were completely resected along the bottom of the tumor pedicle by polypus-forceps electroscalpel; for other patients, the hemangiomas were pinched and held, and then the whole-tumor tissues were cauterized and coagulated by the electroscalpel. Prior to commencing the study, all participants signed informed consents, and all procedures were approved by the hospital ethical committee. Results: There was almost no bleeding during the operations, no postoperative dyspnea, and no hemorrhage. The patients were followed up for 3 years; the 3-year cure rate was 97%. Conclusion: The hemangioma in the hypopharynx and larynx can be cured by a single-session treatment, using the combination of intratumor injection of bleomycin and electroresection/electrocautery through suspension laryngoscopy. Our method is reliable, affordable, and effective, and it could be widely applied in other hospitals.

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Redmann, Andrew J., Gregory D. White, Benu Makkad, and Rebecca Howell. "Asystole From Direct Laryngoscopy: A Case Report and Literature Review." Anesthesia Progress 63, no. 4 (December 1, 2016): 197–200. http://dx.doi.org/10.2344/16-00014.1.

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The rare and potentially fatal complication of asystole during direct laryngoscopy is linked to direct vagal stimulation. This case describes asystole in an 85-year-old female who underwent suspension microlaryngoscopy with tracheal dilation for subglottic stenosis. Quick recognition of this rare event with immediate cessation of laryngoscopy resulted in the return of normal sinus rhythm. This incident emphasizes the implications of continued vigilance during laryngoscopy and the importance of communication between the anesthesia and surgical staff to identify and treat this rare complication. The case was successfully concluded by premedication with an anticholinergic and by increasing the depth of anesthesia.

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Lindemann, T. Logan, Brandon Kamrava, David Sarcu, and Ahmed M. S. Soliman. "In reply to: Different suspension systems may affect complication rates in suspension laryngoscopy." American Journal of Otolaryngology 42, no. 2 (March 2021): 102918. http://dx.doi.org/10.1016/j.amjoto.2021.102918.

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26

Bertrand, D., F. Taron, J. Manel, and M. C. Laxenaire. "Propofol versus propanidide pour la réalisation de laryngoscopies en suspension." Annales Françaises d'Anesthésie et de Réanimation 6, no. 4 (1987): 289–92. http://dx.doi.org/10.1016/s0750-7658(87)80042-4.

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27

Liu, C., Y. Zhang, S. She, L. Xu, and X. Ruan. "A randomised controlled trial of dexmedetomidine for suspension laryngoscopy." Anaesthesia 68, no. 1 (October 29, 2012): 60–66. http://dx.doi.org/10.1111/j.1365-2044.2012.07331.x.

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28

Windfuhr, J. P., and S. Remmert. "Intubation laryngeal mask: atraumatic diagnostic tool in suspension laryngoscopy." Acta Oto-Laryngologica 125, no. 1 (January 2005): 100–107. http://dx.doi.org/10.1080/00016480410015802.

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Lindemann, T. Logan, Brandon Kamrava, David Sarcu, and Ahmed M. S. Soliman. "Tongue symptoms, suspension force and duration during operative laryngoscopy." American Journal of Otolaryngology 41, no. 3 (May 2020): 102402. http://dx.doi.org/10.1016/j.amjoto.2020.102402.

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30

Ijaduola, Taiwo G. A. "A new suspension device for laryngeal endoscopy in developing countries." Journal of Laryngology & Otology 100, no. 6 (June 1986): 659–64. http://dx.doi.org/10.1017/s0022215100099862.

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SummaryIn view of the various technical and electricity maintainance problems with endoscopes in any developing country, a new suspension device for laryngeal endoscopy with a straight-bladed anaesthetic laryngoscope has been described. The advantages of this system are its small size, cheap cost, lack of a chest piece and the use of a non-failing battery source. It also makes use of bipod stands already available in a tonsillectomy set. It can be used in the countryside, and in out-patient and mobile clinics.

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Ozdamar, Osman Ilkay, Lokman Uzun, Gul Ozbilen Acar, Muhammet Tekin, Numan Kokten, and Serdal Celik. "Risk Factors for Lingual Nerve Injury Associated With Suspension Laryngoscopy." Annals of Otology, Rhinology & Laryngology 128, no. 7 (March 6, 2019): 633–39. http://dx.doi.org/10.1177/0003489419835854.

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White, Hilliary N., Dawn B. Sharp, and Paul F. Castellanos. "Suspension laryngoscopy-assisted percutaneous dilatational tracheostomy in high-risk patients." Laryngoscope 120, no. 12 (November 5, 2010): 2423–29. http://dx.doi.org/10.1002/lary.21019.

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Kwon, Young-Sik, Kyung Tae, and Byung-Ju Yi. "Suspension laryngoscopy using a curved-frame trans-oral robotic system." International Journal of Computer Assisted Radiology and Surgery 9, no. 4 (October 2, 2013): 535–40. http://dx.doi.org/10.1007/s11548-013-0944-1.

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Pinar, Ercan, Caglar Calli, Semih Oncel, Burcu Selek, and Bekir Tatar. "Preoperative clinical prediction of difficult laryngeal exposure in suspension laryngoscopy." European Archives of Oto-Rhino-Laryngology 266, no. 5 (November 5, 2008): 699–703. http://dx.doi.org/10.1007/s00405-008-0853-z.

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Morgado, Plínio Ferreira, and Márcio Abrahão. "Angled telescopic surgery, an approach for laryngeal diagnosis and surgery without suspension." Sao Paulo Medical Journal 117, no. 5 (September 2, 1999): 224–26. http://dx.doi.org/10.1590/s1516-31801999000500008.

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CONTEXT: Many methods have been used successfully for the diagnosis and treatment of laryngeal diseases. Microscopic and, recently, telescopic surgery represent the state of the art in endoscopic laryngeal surgery but drawbacks are possible during their application. To keep the suspension apparatus adequately positioned, excessive force is sometimes placed on the upper teeth and tongue with the laryngoscope tube causing damage. Complications in relation to the pharynx, larynx and cardiovascular system have also been reported. OBJECTIVE: In order to reduce complications resulting from the manipulation or stimulation of the upper aerodigestive tract and from torque forces on the upper teeth. We present a method of larynx surgery in which laryngeal suspension is not required. DESIGN: Technical report. TECHNIQUES: We have devised a fiber-optic telescope with its 40mm distal portion deviated 60 degrees from the direction of the proximal portion. This angle was taken by measuring patients immediately before standard microlaryngeal surgery was performed. The surgical instruments have the same angle as the telescope, in order to work on the larynx. This technique provides an image that is not limited by the distal aperture of the laryngoscope and has an advantage in that magnification and illumination may be provided by changing the distance of the lesion from the tip of the instrument. we have operated on four patients with laryngeal diseases and have had no complications as a result of this approach. We feel that this technique gives us the freedom to view the lesions better and helps to minimize the drawbacks caused by laryngeal suspension.

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Onal, Merih, Bahar Colpan, Cagdas Elsurer, Mete Kaan Bozkurt, Ozkan Onal, and Alparslan Turan. "Is it possible that direct rigid laryngoscope-related ischemia–reperfusion injury occurs in the tongue during suspension laryngoscopy as detected by ultrasonography: a prospective controlled study." Acta Oto-Laryngologica 140, no. 7 (March 30, 2020): 583–88. http://dx.doi.org/10.1080/00016489.2020.1743353.

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Friedman, Pamela G., Michael K. Rosenberg, and Miriam Lebenbom-Mansour. "A Comparison of Light Wand and Suspension Laryngoscopic Intubation Techniques in Outpatients." Anesthesia & Analgesia 85, no. 3 (September 1997): 578–82. http://dx.doi.org/10.1097/00000539-199709000-00017.

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Friedman, Pamela G., Michael K. Rosenberg, and Miriam Lebenbom-Mansour. "A Comparison of Light Wand and Suspension Laryngoscopic Intubation Techniques in Outpatients." Anesthesia & Analgesia 85, no. 3 (September 1997): 578–82. http://dx.doi.org/10.1213/00000539-199709000-00017.

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39

Kocamanoglu, I. S., S. Cengel Kurnaz, and A. Tur. "Effects of lignocaine on pressor response to laryngoscopy and endotracheal intubation during general anaesthesia in rigid suspension laryngoscopy." Journal of Laryngology & Otology 129, no. 1 (December 15, 2014): 79–85. http://dx.doi.org/10.1017/s0022215114003077.

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AbstractObjective:This study aimed to compare the effects of topical and systemic lignocaine on the circulatory response to direct laryngoscopy performed under general anaesthesia.Methods:Ninety-nine patients over 20 years of age, with a physical status of I–II (classified according to the American Society of Anesthesiologists), were randomly allocated to 3 groups. One group received 5 ml of 0.9 per cent physiological saline intravenously, one group received 1.5 mg/kg lignocaine intravenously, and another group received seven puffs of 10 per cent lignocaine aerosol applied topically to the airway. Mean arterial pressures, heart rates and peripheral oxygen saturations were recorded, and changes in mean arterial pressure and heart rate ratios were calculated.Results:Changes in the ratios of mean arterial pressure and heart rate were greater in the saline physiological group than the other groups at 1 minute after intubation. Changes in the ratios of mean arterial pressure (at the same time point) were greater in the topical lignocaine group than in the intravenous lignocaine group, but this finding was not statistically significant.Conclusion:Lignocaine limited the haemodynamic responses to laryngoscopy and endotracheal intubation during general anaesthesia in rigid suspension laryngoscopy.

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Zeitels, Steven M., and Charles W. Vaughan. "“External Counterpressure” and “Internal Distention” for Optimal Laryngoscopic Exposure of the Anterior Glottal Commissure." Annals of Otology, Rhinology & Laryngology 103, no. 9 (September 1994): 669–75. http://dx.doi.org/10.1177/000348949410300902.

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External laryngeal counterpressure and internal laryngeal distention produce forces that are helpful for enhancing laryngoscopic exposure of the anterior glottis. These principles were formally described in the early 20th century, but are seldom used today. Hand pressure has been the typical source for external counterpressure. Since this maneuver is unstable if provided by an assistant and wasteful if provided by the surgeon, it is often neglected. Current phonomicrosurgical techniques require wider glottal exposure; therefore, a reexamination of the value of external counterpressure and internal distention is worthwhile. During the last 2 years, 125 microlaryngoscopic procedures were performed for a variety of benign, premalignant, and malignant lesions. All patients were placed in the Boyce-Jackson position and sustained with a modified Killian gallows, with resulting elevated-vector suspension. Internal distention was achieved by placing the largest-lumen glottiscope possible between the endotracheal tube and the infrapetiole region. Exposure was also improved by using silk adhesive tape to apply external counterpressure to the lower laryngeal framework. The use of both external counterpressure and internal distention as an adjunct to microlaryngoscopy was most helpful for the surgical management of lesions located near the anterior commissure. Seemingly, the two resultant forces are in opposition to each other, but in fact they are complementary, both to each other and to the orthodox laryngoscopic principle of elevated-vector suspension.

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Wang, YF, YY Zhuang, L. Pang, S. Dong, HC Ma, and HS Ma. "Intubation without muscle relaxation for suspension laryngoscopy: A randomized, controlled study." Nigerian Journal of Clinical Practice 17, no. 4 (2014): 456. http://dx.doi.org/10.4103/1119-3077.134038.

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Paltura, Ceki, Ahmet Güvenç, Ömer Necati Develioğlu, Kürşat Yelken, and Mehmet Külekçi. "Original Research: Aerosolized Lidocaine: Effective for Safer Arousal After Suspension Laryngoscopy." Journal of Voice 34, no. 1 (January 2020): 130–33. http://dx.doi.org/10.1016/j.jvoice.2018.08.012.

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Chen, P. P., C. K. Cheng, V. Abdullah, and C. P. W. Chu. "Tracheal Intubation Using Suspension Laryngoscopy in an Infant with Goldenhar's Syndrome." Anaesthesia and Intensive Care 29, no. 5 (October 2001): 548–51. http://dx.doi.org/10.1177/0310057x0102900519.

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Gilbert, Mark R., Sorena A. Ostlund, and Clark A. Rosen. "Alveolar Ridge Mucosa Protection during Suspension Laryngoscopy in the Edentulous Patient." Ear, Nose & Throat Journal 90, no. 9 (September 2011): E31—E32. http://dx.doi.org/10.1177/014556131109000923.

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Justi Cassettari, Arthur, Érica Cristina Campos e Santos, Graziela Oliveira Semenzati, and Agrício Nubiato Crespo. "Asystole during Suspension Laryngoscopy: Case Report, Literature Review, and Prophylactic Strategies." Case Reports in Otolaryngology 2020 (January 22, 2020): 1–4. http://dx.doi.org/10.1155/2020/9260564.

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Transoral laryngeal procedures are considered minimally invasive but may trigger important complications such as severe bradycardia and even asystole mediated by vagal reflex. The literature on this subject is rare. This article aims to review the literature, explain associated mechanisms, establish prophylactic strategies, and highlight the importance of intraoperative safety protocols.

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P.A.ssot, S., R. Allary, J. P.A.scal, C. Auboyer, and S. Molliex. "R047 Propofol pour les laryngoscopies en suspension: Controle manuel ou objectif de concentration?" Annales Françaises d'Anesthésie et de Réanimation 17, no. 8 (January 1998): 836. http://dx.doi.org/10.1016/s0750-7658(98)80167-6.

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Lei, Wen-Bin, Zhen-Zhong Su, Xiao-Lin Zhu, Guan-Xia Xiong, Li-Ping Chai, De-Hua Chen, Feng-Hong Chen, Xia Feng, Ke-Xuan Liu, and Wei-Ping Wen. "Removal of Tracheobronchial Foreign Bodies via Suspension Laryngoscope and Hopkins Telescope in Infants." Annals of Otology, Rhinology & Laryngology 120, no. 7 (July 2011): 484–88. http://dx.doi.org/10.1177/000348941112000711.

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Yu, Zhen, Jun Wang, Xi-hong Liang, Bao-xun Zhang, Xing-guo Yang, and Lei Yu. "Placing covered self-expanding metal stents by suspension laryngoscope in benign tracheal stenosis." American Journal of Otolaryngology 42, no. 5 (September 2021): 103040. http://dx.doi.org/10.1016/j.amjoto.2021.103040.

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Çukurova, İbrahim, Doğan Özkul, Erdem Mengi, Hüseyin Kırşen, Erhan Demirhan, and Ayça Tan. "The Histopathological Results Of The Patients To Whom Suspension Laryngoscopy Was Applied." Journal of Tepecik Education and Research Hospital 18, no. 2 (2008): 60–63. http://dx.doi.org/10.5222/terh.2008.46020.

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Jia, Huan, Qi Huang, Jingrong Lü, Jingjie Li, Zhihua Zhang, Zhaoyan Wang, Jun Yang, and Hao Wu. "Microdebrider removal under suspension laryngoscopy: An alternative surgical technique for subglottic hemangioma." International Journal of Pediatric Otorhinolaryngology 77, no. 9 (September 2013): 1424–29. http://dx.doi.org/10.1016/j.ijporl.2013.05.031.

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