Annals of Otolaryngology Head and Neck Surgery (ISSN 2835-7132) | Volume 5, Issue 2 | Case Report | Open Access
Satish Nair*
Jahnavi, Satish Nair*, J G Aishwarya, Vinusree K, Nithya Venkataramani
Department of ENT-HNS, Manipal Hospitals, HAL airport road, Bangalore, Karnataka, India
*Correspondence to: Satish Nair
Fulltext PDFObjective: To evaluate the intraoperative performance of videolaryngoscopy for glottic exposure and surgical feasibility of Besdata Video laryngoscope during phonosurgeries.
Methods: This prospective descriptive observational study included 74 patients undergoing elective laryngeal surgery at a tertiary care hospital using the BESDATA video laryngoscope. It utilizes fibre-optic systems integrated into the laryngoscope blade to provide indirect visualization of the glottis on a video monitor. Glottic exposure was assessed using the Percentage of Glottic Opening (POGO) score and Cormack-Lehane (CL) grading. Outcomes assessed were the extent of glottic exposure and the intraoperative surgical feasibility.
Results: All 74 patients achieved adequate glottic visualization with POGO score of 75-100% and Cormack-Lehane of Grade I view. Benign vocal cord lesion excisions were performed successfully even in cases with difficult exposure. Since it’s a Single-handed surgery, it was challenging but managed with malleable surgical instruments. No significant procedure-related complications were observed. Patients had no complains of cervical or dental pain post-operatively.
Conclusion: The videolaryngoscopy is a safe and effective alternative surgical tool for direct laryngoscopy for benign laryngeal pathologies, providing adequate visualization and facilitating successful surgical outcomes with minimal complications. Post-operative outcomes were satisfactory and no residual or recurrent disease was noted. Its role in more complex procedures requires further evaluation.
Video laryngoscope; Direct laryngoscope; Larynx; Hyper-angulated blades
Jahnavi, Satish Nair, J G Aishwarya, Vinusree K, Nithya Venkataramani. Video Laryngoscope Assisted Laryngeal Surgery: Techniques and Benefits. Annal of Otol Head and Neck Surg. 2026;5(2):1-9.