back to 2010, vol. 16, b. 3

Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: 2010, vol. 16, book 3
Subject Collection: Medicine
Page: 44 - 47
DOI: 10.5272/jimab.1632010_44-47
Online date: Dec 14, 2010

Nikolay Sapundzhiev
Department of Otorhinolaryngology,
Medical University “Prof. P Stoyanov”, Varna, Bulgaria

Introduction: The aim of the present work is to present our preliminary results for the use of the Weerda distending diverticuloscope (W DD) for diagnostic and surgical interventions in patients with upper airways and digestive system disorders, especially of malignant origin.
Material and methods: For the 2-years period 2008-2009 the W DD was used in 21 patients. Under general anesthesia and protection of the front teeth the W DD is introduced, following the course of the endotracheal tubus. By adjusting the blades of the instrument very good exposition of the whole larynx and partially of the hypopharynx are achieved.
Results: In 15 of the 21 cases the W DD allowed for optimal visualization of the region of interest. In 12/15 patients exploratory examinations with biopsies were performed. In 2/15 cases complete resection of carcinoma of the posterior pharyngeal wall was performed. In 1/15 cases arytenoidecomy was performed. In 6/21 cases we were unable to introduce the instrument because of anatomical factors.
Conclusion: The W DD presents a versatile tool for better exposing the laryngeal and hypopharyngeal regions. It is a valuable complement to the standard surgical armament of the ENT H&N surgeon, which gives new promissing diagnostic and treatment options.

.Key words: Weerda distending diverticuloscope, larynx, hypopharynx, squamous cell carcinoma.

Page: 44-47; FULL TEXT PDF (249 KB) Abstract

1. Arnold W, Ganzer U. Hypopharynx­karzinom. In Checkliste HNO-Heilkunde. 2005, Georg Thieme Verlag, Stuttgart. 406 408
2. Brondbo K. Treatment of cricopharyngeal dysfunction by endoscopic laser myotomy. Acta Otolaryngol Suppl. 2000;543:222 224
3. Herrmann IF, Arce-Recio S. Special techniques for resolving aspiration problems. Operative Techniques in Otolaryngology 1998;9:180 191
4. Jaramillo MJ, McLay KA, McAteer D. Long-term clinico-radiological assessment of endoscopic stapling of pharyngeal pouch: a series of cases. J Laryngol Otol 2001;115:462-466 [PubMed]
5. Kucharczuk JC, Kaiser LR, Marshall MB. Weerda diverticuloscope: novel use to remove embedded esophageal foreign bodies. Ann Thorac Surg 2003;76:1276 1278
6. McLean JN, DelGaudio JM. Endoscopic resection of a giant esophageal polyp: case report and review of the literature. Am J Otolaryngol 2007;28:115 117 [PubMed]
7. Pitzer G, Oursin C, Wolfensberger M. Anteriores Pseudodivertikelnach Laryngektomie. HNO 1998;46:60 63
8. Rudert HH, Hцft S. Transoral carbon-dioxide laser resection of hypopharyngeal carcinoma Eur Arch Otorhinolaryngol 2003;260:198 206
9. Sapundzhiev N, Stelianova T, Gencheva M, Platikanov V. General endotracheal anesthesia with intermittent apnea technique in microlaryngeal surgery. Anaesthesiology and intensive care 2007;34:3 6
10. Sesterhenn AM, Muller HH, Wiegand S, Teymoortash A, Folz BJ, Werner JA. Cancer of the oro- and hypopharynx - when to expect recurrences? Acta Otolaryngol 2008;128:925 929 [PubMed]
11. Stell PM, Bowdler DA. Chirurgie bцsartiger und gutartiger Erkrankungen des Hypopharynx. In Kopf- und Hals-Chirurgie in 3 Bдnden. 1998, Thieme Verlag, Stuttgart, NewYork. 189 206
12. Swanson PB, Apicella SA, Rosen CA. Removal of a triple-barbed fishhook from the hypopharynx with microlaryngoscopy. Am J Otolaryngol 2002;23:233 236
13. Tucker Woodson B. Innovative technique for lingual tonsillectomy and midline posterior glossectomy for obstructive sleep apnea. Operative Techniques in Otolaryngology 2007;18:20 28
14. Weerda H, Pedersen P, Meuret G. A new distending laryngoscope for diagnosis and microsurgery of the larynx. Laryngoscope 1983;93:639 641

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