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Microphonosurgery Using Cold Instruments

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Surgery of Larynx and Trachea

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Abstract

In microlaryngoscopy the surgeon and the anaesthesiologist share the same area, therefore a good collaboration between them is mandatory. Endoscopic surgery relies first on exposure. The largest-caliber laryngoscope that can be comfortably placed should be used. A large variety of laryngoscopes are available and there is not a single “best” one that fits all situations. The surgeon must become familiar with several types and identify those in which he or she is most comfortable. Elevating the head so it resembles the sniffing (“Boyle-Jackson”) position eases the insertion of the laryngoscope and exposure of the endolarynx particularly the anterior commissure. The precision of the surgery is enhanced with magnification, therefore the highest magnification adapted to the individual situation should always be used. The delicate microsurgery in the endolarynx requires specially designed, sharp, precise and small instruments. To enhance the surgeon´s manual dexterity and maintaining instrument stability it is generally recommended to use armrests in phonomicrosurgery.

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Authors and Affiliations

  1. University Hospital, Graz, Austria

    Gerhard Friedrich (Professor and Chairman, Ear, Nose and Throat)

  2. Head of Department of Phoniatrics, Speech and Swallowing, Medical University of Graz, Auenbruggerplatz 26-28, A-8036, Graz, Austria

    Gerhard Friedrich (Professor and Chairman, Ear, Nose and Throat)

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Correspondence to Gerhard Friedrich .

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Editors and Affiliations

  1. Mont-Godinne, Univ. Hospital of Louvain at, Yvoir, 5530, Belgium

    Marc Remacle

  2. Hals-Nasen-Ohren Abteilung, Landeskrankenhaus Klagenfurt, St. Veiter Str. 47, Klagenfurt, 9026, Austria

    Hans Edmund Eckel

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© 2009 Springer-Verlag Berlin Heidelberg

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Friedrich, G. (2009). Microphonosurgery Using Cold Instruments. In: Remacle, M., Eckel, H. (eds) Surgery of Larynx and Trachea. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79136-2_5

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  • DOI: https://doi.org/10.1007/978-3-540-79136-2_5

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-79135-5

  • Online ISBN: 978-3-540-79136-2

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