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1 results

  • Pete's bar: alternative use of the laryngoscopy suspension bar to improve surgical exposure during small incision cochlear implantation

  • S A C MacKeith, P Sleeman-Barker, J D Ramsden
  • Journal:
    The Journal of Laryngology & Otology / Volume 128 / Issue 1 / January 2014
    Published online by Cambridge University Press:
    17 December 2013, pp. 96-97
    Print publication:
    January 2014
  • Background:

    Cochlear implant surgery is increasingly being performed through a small incision because of the benefits associated with this technique, such as fewer wound complications. Efforts have been made to maximise surgical exposure in order to improve this evolving technique; this includes the development and use of new retractors. For instance, elasticated stay hooks can retract skin in a radial fashion and they are less bulky than traditional retractors. These hooks are usually attached directly to surgical drapes or to a disposable retractor ring; there are disadvantages to both of these methods.

    Method:

    This paper describes a technique using a laryngeal suspension bar in which the bar acts as a fixed structure to which these elasticated stay hooks can be attached.

    Conclusion:

    This technique was found to be safer, cheaper and more effective for obtaining optimal surgical exposure compared with a technique whereby the stay hooks are attached directly to the drapes or to a disposable retractor ring.