Department of Otorhinolaryngology.
Department of Anesthesiology, Careggi University Hospital, Largo Brambilla 3, Florence, Italy.
J Craniofac Surg. 2021 May 1;32(3):e309-e311. doi: 10.1097/SCS.0000000000007117.
There is urgent need to find a swift and cheap way to safely perform routine endoscopic procedures during the otolaryngological and anesthesiological practice. We want to share our experience of a novel device, inspired by the pediatric head box experience.
Five otolaryngologists and four anesthesiologists were asked to visualize the glottic plane by using the device. A total of 15 attempts was allowed to reach the vocal folds within 60 seconds after entering the box. Student's t-test for unpaired samples was used to compare groups.
Transnasal laryngoscopy through our endobox could be successfully performed by all the physicians involved and the mean number of attempts before visualizing and passing the glottis for the first time was 2.8 (range 1-5) in the otolaryngologists' group versus 3.2 (range 1-6) in the anesthesiologists' group (P=0.583). Out of the 15 attempts, the group of otolaryngologists reached the glottis 10.2 times, on average, against 9.7 in the other group (P=0.692).
Our endobox seems a practical and feasible strategy to control droplets diffusion during standard ear, nose, and throat and anesthesiological practice.
在耳鼻喉科和麻醉科实践中，急需找到一种安全、快速且廉价的方法来安全地进行常规内镜检查。我们希望分享一种受儿科头箱经验启发的新型设备的经验。
我们要求五名耳鼻喉科医生和四名麻醉师使用该设备观察声门平面。允许每个医生在进入盒子后 60 秒内尝试最多 15 次以到达声带。使用未配对样本的学生 t 检验来比较组间差异。
所有参与的医生都能够成功地通过我们的内镜箱进行经鼻喉镜检查，首次可视化并通过声门的平均尝试次数为耳鼻喉科医生组 2.8（范围 1-5），麻醉师组为 3.2（范围 1-6）（P=0.583）。在 15 次尝试中，耳鼻喉科医生组平均 10.2 次到达声门，而另一组为 9.7 次（P=0.692）。
我们的内镜箱似乎是一种实用且可行的策略，可以控制在标准耳鼻喉科和麻醉科实践中飞沫的扩散。
