Ventilating Tracheal Resectoscope

Abstract

The ventilating tracheal resectoscope (Karl Storz) combines the advantages of a ventilating bronchoscope and the resecting cystoscope for removal of soft tissue from the airway. The resectoscope offers several distinct advantages over other methods of granulation tissue removal. The procedure is done under direct vision with magnification and illumination of a rod-lens optical system. Suprastomal granulation tissue is resected cleanly, without tearing or stripping of adjacent mucosa. Hemorrhage is readily controlled with the coagulating mode. The resectoscope can also be used for removing benign tumors (such as recurrent respiratory papillomatosis) from the trachea and bronchi. Its use in the efficient removal of malignant tumors and subglottic soft tissue has also been described.

Keywords

decannulation endobronchial tumors resectoscope tracheal granuloma

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References

Willis

Myers

Miller

Cotton

. Tracheotomy decannulation in the pediatric patient. Laryngoscope 1987; 97: 764–5.

Rita

Seleny

. Endotracheal tube ignition during laryngeal surgery with resectoscope. Anesthesiology 1982; 56: 60–1.

Rosenfeld

Stool

. Should granulomas be excised in children with long-term tracheotomy?. Arch Otolaryngol Head Neck Surg 1992; 118: 1323–7.

Holinger

Johnston

. A resectoscope for tumors of the trachea, bronchi, and esophagus. Trans Am Acad Ophthalmol Otolaryngol 1950; 54: 384–5.

Johnston

Stewart

. Management of acquired tracheal obstructions in infancy. J Pediatr Surg 1975; 10: 709–17.