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Surgical Direct Laryngoscopy: Surgeon Preferences and Future Directions
Camryn Marshall1, Shayan Fakurnejad2, James J Lappin2
1Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida; UCSF Voice & Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, San Francisco, California.
Summary
Laryngologists show varied preferences for laryngoscopes in glottic, subglottic, and hypopharyngeal surgery. Surgeons suggested modifications like altering shape and adding ports for improved laryngoscopy innovation.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Medical Device Design
Background:
- Direct laryngoscopy has evolved significantly since the mid-1800s.
- Numerous variations of the direct laryngoscope exist.
- Surgeon practice patterns and preferences for specific laryngoscopes remain under-investigated.
Purpose of the Study:
- To evaluate surgeon preferences for direct laryngoscopy and suspension apparatus in glottic, subglottic, and hypopharyngeal surgery.
- To understand the rationale behind these preferences.
- To gather recommendations for future laryngoscope modifications and innovations.
Main Methods:
- An anonymous electronic survey was distributed to laryngologists worldwide.
- Respondents reported their preferred laryngoscopes, reasons for choice, and suggestions for innovation.
- Data were collected and aggregated for analysis.
Main Results:
- 128 laryngologists responded; 84% had completed a laryngology fellowship.
- Preferences varied by surgical site: Dedo and Universal Modular Glottiscope (UMG) for glottic; Weerda for hypopharyngeal; Dedo for subglottic.
- "Size of working space" and "favorable design for difficult exposures" were key rationale.
- Suggested modifications included altering laryngoscope shape and adding a port.
Conclusions:
- Surveys revealed variable agreement among laryngologists regarding instrument selection.
- Respondents proposed modifications indicating a need for continued innovation in laryngoscope design.
- Further research is warranted to explore these proposed changes and their impact.
