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CASE REPORT   

Otorinolaringologia 2017 December;67(4):112-5

DOI: 10.23736/S0392-6621.17.02125-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Glidescope assisted tongue base coblation for obstructive sleep apnea

Garrett ENTEN 1, Tapan PADJA 2, Devanad MANGAR 3, Enrico CAMPORESI 1, 3

1 Department of Anesthesia, TEAMHealth Research Institute, Tampa, FL, USA; 2 Department of Otorhinolaryngology, University of South Florida, Tampa, FL, USA; 3 Department of Anesthesia, TEAMHealth, Tampa, FL, USA


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Obstructive sleep apnea (OSA) is prevalent in patients presenting with upper airway obstruction due to an enlarged tongue base. Here we describe a novel method of using a video-laryngoscope, the GlideScope®, to perform coblation of the tongue base for these select patients. The patient presented in this case report is a 67-year-old male who had two coblation procedures performed in a four-year span. The first of which was a standard procedure that utilized a Hopkins Rod Telescope for visualization of the tongue base. The subsequent redo-procedure four years later was GlideScope®-assisted. In both instances an Arthrocare® plasma wand was utilized and coblation was continued until the epiglottis was visualized as an endpoint. This case allows for a direct comparison of the two methods of visualization for tongue base reduction. The comparison found that GlideScope®-assisted coblation of the tongue base saves the use of additional equipment and simplifies the surgery reducing its overall duration by 40 minutes. Additionally, as the surgeon can easily hold and maneuver the GlideScope® with the left hand while using the right hand to perform the coblation, staffing can potentially be reduced for this procedure. The scope of this single case report is limited; a formal cost analysis and retrospective chart review of the two methods of visualization will be required to confirm the observed benefits of GlideScope®-assisted coblation.


KEY WORDS: Sleep apnea syndromes - Laryngoscopes - Ablation techniques

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