Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention
Abstract
:1. Introduction
2. Case Presentation
2.1. Case 1
2.2. Case 2
2.3. Case 3
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Case | Age | Sex | Height (cm) | Weight (kg) | BMI (kg/m2) | Diagnosis | Nodule Size (cm) | Laterality | Operative Time (min) |
---|---|---|---|---|---|---|---|---|---|
1 | 57 | M | 166 | 82 | 29.8 | NIFTP | 1.7 | Left | 175 |
2 | 56 | F | 154 | 68 | 28.6 | NIFTP | 1.9 | Left | 229 |
3 | 45 | F | 154 | 45 | 19.1 | FA | 4.4 | Right | 230 |
Case | Location | Side | Fracture Length (cm) | Fracture Type | Predisposing Factor |
---|---|---|---|---|---|
1 | Distal * | Ventral † | 4 | Single linear fracture without fragmentation | Tight pre-mandibular soft tissue |
2 | Distal | Ventral | 3 | Multiple fractures with 2 dislodged fragments | Short stature |
3 | Distal | Ventral | 4 | Multiple fractures with 4 dislodged fragments | Short stature, protruding chin |
Mechanism | Strategy |
---|---|
Decrease passive compression | Small trocar (e.g., 5 mm or 11 mm in diameter) Dilate the premandibular space |
Avoid active compression | Avoid tilting the cannula rigorously Use small endoscope Retract the cannula back to the lower edge of the chin |
Increase resistance to break | Use break-resistant cannula or metal cannula |
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Liang, T.-J.; Liu, S.-I.; Chen, I.-S. Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention. Diagnostics 2022, 12, 1566. https://doi.org/10.3390/diagnostics12071566
Liang T-J, Liu S-I, Chen I-S. Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention. Diagnostics. 2022; 12(7):1566. https://doi.org/10.3390/diagnostics12071566
Chicago/Turabian StyleLiang, Tsung-Jung, Shiuh-Inn Liu, and I-Shu Chen. 2022. "Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention" Diagnostics 12, no. 7: 1566. https://doi.org/10.3390/diagnostics12071566