Subplatysmal Endoscopic Guided Endotracheal Tube Cuff Inflation Facilitates Working Space Creation in Transoral Endoscopic Thyroidectomy, A Novel Technique

Authors: Kadem SG*, Mohamd SA and Jawad MM

DOI: 10.23880/ijsst-16000142

Volume 4, Issue 1

Abstract

Transoral endoscopic thyroidectomy is a natural orifice thyroid surgery, minimally invasive and completely scar free. However, the working space of this procedure is relatively small and is also difficult to create compared with that of other remote-access thyroidectomy procedures. Hence, we described a new modification using endotracheal tube cuff inflation guided by an endoscope to create initial subplatysmal working space under direct vision. In this study, we first created a tract from the chin to just distal to the thyroid cartilage, after which a cuffed endotracheal tube was inserted through the middle oral vestibular incision and guided by endoscope for correct position. Sequential cuff inflations were performed to dilate the entire subplatysmal tunnel. Subplatysmal endoscopic guided endotracheal tube cuff inflation is a simple and effective method for creation of larger initial working space in transoral thyroidectomy with less blind blunt tissue dissection, that. greatly facilitating subsequent trocar insertion and further dissection.

Keywords: Transoral endoscopic thyroidectomy; Natural orifice thyroid surgery; Anuwong’s TOETVA procedure;Endotracheal tube cuff pressure

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