title: Detachable forceps for flexible fibre-optic surgery: a new technique for phonosurgery in cases where rigid laryngoscopy is contraindicated.
abstract: In phonosurgery, in cases where it is not possible to use a rigid laryngoscope, a flexible fibrescope with laryngeal-mask ventilation may be used. In flexible fibreoptic surgery, the forceps are normally inserted through a small channel in the fibrescope. Since only a small forceps tip can pass through this channel, a limited range of forceps has been available for use in fibrescope procedures. We have developed a new type of forceps for flexible fibre-optic surgery that allows this size limitation to be overcome. The new forceps is made up of two parts: (i) the forceps tip and its control wire assembly, and (ii) a detachable handle. A wide range of forceps can be used, including those with tips larger than the biopsy channel. We report a case that was treated with this new technique.
authors.affiliation: Department of Otolaryngology, Nissan Tamagawa Hospital, Tokyo, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Tsunoda
authors.forename: Yayoi Suzuki
authors.initials: YS
authors.lastname: Kikkawa
authors.forename: Rie
authors.initials: R
authors.lastname: Yoshihashi
authors.forename: Yuki
authors.initials: Y
authors.lastname: Sakai
mesh_terms: D000328:Adult; D000075202:Contraindications; D005260:Female; D005336:Fiber Optic Technology / Q000295:instrumentation*; D006801:Humans; D017214:Laryngeal Masks; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007828:Laryngoscopy; D008866:Microsurgery / Q000295:instrumentation; D013517:Otorhinolaryngologic Surgical Procedures / Q000295:instrumentation; D011127:Polyps / Q000601:surgery*; D014827:Vocal Cords / Q000601:surgery*