The Annals of otology, rhinology, and laryngology
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Ann. Otol. Rhinol. Laryngol. · Sep 2017
Case ReportsSurgical Management of Supraglottic Stenosis Using Intubationless Optiflow.
Airway management during endoscopic surgical treatment of supraglottic and pharyngeal stenosis is often challenging and can be accomplished by various means, including tracheostomy, jet ventilation, or direct laryngoscopy. We describe CO2 laser excision of supraglottic-pharyngeal stenosis using intubationless Optiflow high-flow nasal cannula (HFNC). ⋯ Optiflow is an important new tool in the management of severe supraglottic stenosis. It provides sufficient oxygenation to perform extended apneic surgery and improves endoscopic surgical access in a limited airway.