Document Detail


Development of a new method and device for adaptation and suture of tissues during transoral surgery: in vitro and cadaver experiments.
MedLine Citation:
PMID:  16025054     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to present cadaver and model experiments of a technique using an instrument that may overcome the problems of achieving adaptation and suture of mucous membrane and other tissues during transoral surgery in narrow anatomical circumstances. STUDY DESIGN: The following interventions were carried out on cadavers: adaptation and suture of mucous membrane by uvulopalatopharyngoplasty (UPPP); release and anteroposition of the epiglottis and fixation to the vallecula or to the base of the tongue; denudation and closing the lumen of the larynx; release and retroposition and fixation of the epiglottis to the posterior part of the larynx; creation, adaptation, and suturing of mucosal flaps in the posterior part of the larynx; craniolateral mobilization and fixation of the vocal cord; submucous excision of excess tissues; and adaptation and suture of the edges of the mucosa. RESULTS: The safety and reduced need for microclips in surgeries in these areas can be accomplished by introducing the Ligature-Suture device, which makes it possible to pass a suture under the tissues with a single movement. CONCLUSIONS: This new technique and instrument for the Ligature-Suture device has the potential to be applied successfully in other fields of surgery. The main advantages of this technique are its simplicity and safety.
Authors:
György Lichtenberger
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Publication Detail:
Type:  In Vitro; Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  133     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-07-18     Completed Date:  2005-09-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  62-5     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Szent Rókus Hospital and Institutions, Budapest, Hungary.
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MeSH Terms
Descriptor/Qualifier:
Cadaver
Humans
Models, Biological
Mouth Mucosa / surgery*
Oral Surgical Procedures / instrumentation,  methods*
Suture Techniques / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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