O J Carreno1, W R Wilson, P K Nootheti. 1. Division of Otolaryngology--Head and Neck Surgery, The George Washington University Medical Center, Washington, DC 20037, USA.
Abstract
OBJECTIVES: This study uses a porcine model to establish the feasibility of performing endoscopic procedures in the neck using standard techniques currently being employed in preperitoneal endoscopy in the abdomen. STUDY DESIGN: It is a pilot study presented as a case series. METHODS: Ten animals were subjected to anterior deep cervical fascia dissection using standard endoscopic instrumentation. RESULTS: Balloon dissection and CO2 insufflation poses a number of problems: CO2 gas dissection into the chest, CO2 gas embolism into the venous circulation, carotid artery occlusion, and limited visualization causing increased risk of injury to adjacent structures. CONCLUSION: These issues need to be dealt with before such a method could be employed safely in humans. However, with further research and development, endoscopic neck surgery may someday become a reality.
OBJECTIVES: This study uses a porcine model to establish the feasibility of performing endoscopic procedures in the neck using standard techniques currently being employed in preperitoneal endoscopy in the abdomen. STUDY DESIGN: It is a pilot study presented as a case series. METHODS: Ten animals were subjected to anterior deep cervical fascia dissection using standard endoscopic instrumentation. RESULTS: Balloon dissection and CO2 insufflation poses a number of problems: CO2 gas dissection into the chest, CO2gas embolism into the venous circulation, carotid artery occlusion, and limited visualization causing increased risk of injury to adjacent structures. CONCLUSION: These issues need to be dealt with before such a method could be employed safely in humans. However, with further research and development, endoscopic neck surgery may someday become a reality.
Authors: Giorgos Papaspyrou; Alfio Ferlito; Carl E Silver; Jochen A Werner; Eric Genden; Andreas M Sesterhenn Journal: Surg Endosc Date: 2010-09-16 Impact factor: 4.584
Authors: Jochen A Werner; N R Sapundzhiev; A Teymoortash; A A Dünne; T Behr; B J Folz Journal: Eur Arch Otorhinolaryngol Date: 2004-08-22 Impact factor: 2.503