Microlaryngeal surgery without a tracheal tube

Penetrating injury of the soft palate by a microlaryngeal tracheal tube during GlideScope® intubation

Dear Editor, A 57-year-old man presented for suspension microlaryngoscopy and biopsy of a laryngeal lesion that was mildly obstructive. After induction of general anaesthesia, a standard midline approach of glideScope laryngoscopy provided good laryngeal exposure. A junior anaesthesiologist made a failed attempt to introduce a 5.0-mm internal diameter cuffed microlaryngeal tracheal (MlT) tube w...

Tracheostomy tube ignition during microlaryngeal surgery using diode laser: a case report.

Ignition of the tracheal tube during laser microlaryngeal surgery under general anesthesia is an uncommon complication with potentially serious consequences. We present here a case of a patient with glottic stenosis following endotracheal intubation, who experienced this potentially catastrophic combustion during endoscopic arytenoidectomy, using a diode laser under general anesthesia via 60% F...

A new anesthetic system for microlaryngeal surgery.

Anesthesia for microlaryngeal surgery creates many obstacles for the anesthesiologist and otolaryngologist. Anesthetic techniques developed to improve surgical exposure have been met with significant limitations and are difficult for the anesthesiologist to monitor. A new subglottic jet ventilation anesthesia system is introduced that meets the needs of the otolaryngologist and the anesthesiolo...

Antiplatelet and anticoagulation therapy in microlaryngeal surgery.

OBJECTIVES/HYPOTHESIS Indications for antiplatelet and anticoagulation use are expanding. There is no evidence to direct therapeutic management in patients undergoing microlaryngeal surgeries. Our aim was to compare bleeding complications between microlaryngeal surgeries performed for patients preoperatively taken off and maintained on antiplatelet and/or anticoagulation therapy. STUDY DESIGN...

One-lung ventilation via tracheostomy and left endobronchial microlaryngeal tube.