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Diathermy epiglottectomy: endoscopic technique.

A F Oluwasanmi1, R K Mal

  • 1Ear Nose and Throat Department, Southmead Hospital, Bristol, UK.

The Journal of Laryngology and Otology
|March 29, 2001
PubMed
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Monopolar diathermy endoscopic partial epiglottectomy offers a safe and effective treatment for floppy epiglottis causing obstructive sleep apnea syndrome (OSAS). This minimally invasive procedure avoids laser use and is suitable for hospitals without laser facilities.

Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Minimally Invasive Surgery

Background:

  • Endoscopic epiglottectomy is typically performed with surgical lasers.
  • Indications include benign/malignant lesions and airway obstruction from a floppy epiglottis.
  • Floppy epiglottis can contribute to snoring and obstructive sleep apnea syndrome (OSAS).

Observation:

  • Four male patients in their sixth and seventh decades with OSAS underwent endoscopic partial epiglottectomy using monopolar diathermy.
  • The procedure utilized standard laryngoscopy, laryngeal instruments, and specialized microdissection scissors.
  • Patients presented with snoring and/or OSAS attributed to a floppy epiglottis.

Findings:

  • Monopolar diathermy epiglottectomy proved safe and effective with minimal morbidity.

Related Experiment Videos

  • The technique is easily performed using readily available surgical instruments.
  • No elaborate preparation was required for the procedure.

    • Implications:

    • This method provides an alternative to laser epiglottectomy, especially in facilities lacking laser equipment.
    • Diathermy epiglottectomy is a viable option for treating floppy epiglottis-related airway obstruction.
    • The procedure can be combined with other surgeries like uvulopalatopharyngoplasty (UPPP).