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Endoscope-guided coblator tongue base resection using an endoscope-holding system for obstructive sleep apnea

Authors
 Hyung-Ju Cho  ;  Do-Yang Park  ;  Hyun Jin Min  ;  Hyo Jin Chung  ;  Jeung-Gweon Lee  ;  Chang-Hoon Kim 
Citation
 Head & Neck, Vol.38(4) : 635-639, 2016 
Journal Title
 Head & Neck 
ISSN
 1043-3074 
Issue Date
2016
MeSH
Endoscopes ; Endoscopy/methods* ; Glossectomy/methods* ; Humans ; Retrospective Studies ; Sleep Apnea, Obstructive/surgery* ; Tongue/surgery* ; Tonsillectomy/methods*
Keywords
coblator ; endoscope ; holder ; sleep apnea ; tongue base
Abstract
BACKGROUND: Multilevel obstruction in obstructive sleep apnea commonly includes retroglossal obstruction. To improve surgical success rates, tongue volume reduction with posterior midline glossectomy and/or lingual tonsillectomy is widely performed. METHODS: Nasotracheal intubation was utilized, and the combined tongue procedure was performed as a final step after palatal surgery. The tongue was pulled maximally by a retraction suture and a McIVOR (Karl Storz, Tuttlingen, Germany) or Davis mouth gag (Karl Storz,Tuttlingen, Germany), and a medium-length tongue blade was applied to expose the tongue base. A 70-degree rigid endoscope was fixed by the holding system and introduced into the oral cavity. Endoscope-guided coblator tongue base resection was then performed. RESULTS: The surgeon could use both hands for the surgery, enabling a more delicate resection of tongue base tissue. CONCLUSION: This technique was acceptable and can be successfully used in patients with a large tongue, in whom exposing the tongue base for surgery is difficult.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/hed.24252/abstract
DOI
10.1002/hed.24252
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Hoon(김창훈) ORCID logo https://orcid.org/0000-0003-1238-6396
Min, Hyun Jin(민현진)
Lee, Jeung Gweon(이정권)
Chung, Hyo Jin(정효진)
Cho, Hyung Ju(조형주) ORCID logo https://orcid.org/0000-0002-2851-3225
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152205
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