Endoscopic snare uvulectomy under moderate sedation without endotracheal intubation

Watch a video of this article. Cancer the uvula, which is classified as an oropharyngeal cancer, not common but requires early detection and treatment.1, 2 Transoral videolaryngoscopic surgery endoscopic submucosal dissection are effective therapies for superficial cancer.3-5 General anesthesia with endotracheal intubation usually used to remove pharyngeal cancers. A 76-year-old woman who had undergone pharyngolaryngoesophagectomy free jejunal autograft reconstruction advanced hypopharyngeal cancer was found by upper gastrointestinal endoscopy have small reddish area on uvula (Fig. 1a). Magnifying narrow-band imaging revealed 5-mm brownish lesion dilated microvessels 1b). Histological examination biopsy specimen obtained from showed severe dysplasia. The risk aspiration associated treatment considered very low because patient permanent tracheal stoma. Endoscopic snare uvulectomy performed under moderate sedation midazolam (5 mg) pethidine hydrochloride (35 (Video S1). high-definition endoscope water jet system (GIF-H290T; Olympus Co., Ltd., Tokyo, Japan) transparent attachment (Space adjuster; TOP, electrosurgical unit (VIO300D; ERBE, Tubingen, Germany) were perform procedure supervision head neck surgeon. snared minimum excision margin using 10-mm (SnareMaster; Olympus) resected electrocautery (ENDO CUT Q mode) 2a). En bloc resection achieved quickly 2b,c). She discharged 4 days after no adverse events in accordance clinical pathway cancer. dysplasia negative margins. simple minimally invasive technique. Authors declare conflict interest We thank Jane Charbonneau, DVM, Edanz Group (https://en-author-services.edanz.com/ac), editing draft manuscript. Please note: publisher responsible content or functionality any supporting information supplied authors. Any queries (other than missing content) should be directed corresponding author