증례

Fiberoptic Laryngeal Microsurgery in Patients with Cervical Spine Disease

Jeon Yeob Jang1, Hyo Sung Kim2, Ji Seok Baik2, Hae Kyu Kim2,*
Author Information & Copyright
1Department of Otorhinolaryngology-Head and Neck Surgery, Busan, Korea
2Anesthesia and Pain Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
*교신저자: 김해규, 602-739 부산광역시 서구 구덕로 179 부산대학교 의과대학 부산대학교병원 마취통증의학과 전화 :(051) 240-7397·전송:(051) 246-7466 E-mail:Hakykim@pusan.ac.kr

© Copyright 2014 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 29, 2014; Revised: Oct 07, 2014; Accepted: Nov 20, 2014

Published Online: May 31, 2020

ABSTRACT

Laryngeal microsurgery using suspension laryngoscope is a common procedure for benign laryngeal lesions. However, suspension laryngoscope could not always guarantee adequate exposure of the vocal cord in patients having stiff neck. Here we present a novel operative method to overcome difficult laryngeal exposure in patients with cervical spine diseases. A 71-year-old man presented with hoarseness. Laryngeal evaluation showed a vocal polyp located at the anterior portion of right true vocal cord. He previously underwent partial laminectomy of cervical and thoracic vertebrae for ossified ligamentum flavum. During operation, suspension rigid laryngoscope was not able to be introduced at the true vocal cord level due to a limited neck extension caused by spine immobilization and further concern was taken for potential damage of spinal cord. We performed fiberoptic laryngeal microsurgery assisted with McGRATH® portable video laryngoscope and successfully removed the vocal polyp. Fiberoptic laryngeal microsurgery assisted with McGRATH® portable video laryngoscope might be an alternative approach in selected patients of difficult laryngeal exposure especially due to cervical spine disease. (J Clinical Otolaryngol 2014;25:271-275)

Keywords: Fiberoptic laryngeal microsurgery; Video laryngoscope; McGRATH®; Difficult laryngeal exposure; Spine disease