Detachable forceps for flexible fibre-optic surgery: a new technique for phonosurgery in cases where rigid laryngoscopy is contraindicated

• Published in: Journal of laryngology and otology Vol. 116; no. 7; pp. 559 - 561
• Main Authors: Tsunoda, Koichi, Kikkawa, Yayoi Suzuki, Yoshihashi, Rie, Sakai, Yuki
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.07.2002
• Subjects: (RF) Otorhinolaryngology; Adult; Biological and medical sciences; Contraindications; Endoscopy; Female; Fiber Optic Technology - instrumentation; Fibre-Optics; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Laryngeal Masks; Laryngeal Neoplasms - surgery; Laryngoscopy; Larynx Surgery; Medical sciences; Microsurgery - instrumentation; Otorhinolaryngologic Surgical Procedures - instrumentation; Polyps - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the upper aerodigestive tract; Surgical Instruments; Vocal Cords - surgery; Surgical Instruments; Endoscopy; Fibre-Optics; Larynx Surgery; Human; Endoscopic surgery; Vocal cord; Laryngoscopy; Case study; Flexible; Treatment; Flexible structure; ENT disease; Larynx; Larynx disease; Technique; Forceps; Polyp
• ISSN: 0022-2151; 1748-5460
• DOI: 10.1258/002221502760132719

In phonosurgery, in cases where it is not possible to use a rigid laryngoscope, a flexible fibrescope with laryngeal-mask ventilation may be used. In flexible fibreoptic surgery, the forceps are normally inserted through a small channel in the fibrescope. Since only a small forceps tip can pass through this channel, a limited range of forceps has been available for use in fibrescope procedures. We have developed a new type of forceps for flexible fibre-optic surgery that allows this size limitation to be overcome. The new forceps is made up of two parts: (i) the forceps tip and its control wire assembly, and (ii) a detachable handle. A wide range of forceps can be used, including those with tips larger than the biopsy channel. We report a case that was treated with this new technique.