Preprint Communication Version 1 Preserved in Portico This version is not peer-reviewed

A New Lighting System for Surgical Vision Optimization in Barbed Pharyngoplasty for OSA

Lorenzo Sabatino
,
Antonio Moffa
,
Francesco Iafrati
* ORCID logo ,
Simone Di Giovanni
,
Luigi De Benedetto
,
Lucrezia Giorgi
ORCID logo ,
Peter Baptista
ORCID logo ,
Claudio Vicini
,
Andrea De Vito
ORCID logo ,
Manuele Casale
Version 1 : Received: 3 August 2023 / Approved: 4 August 2023 / Online: 4 August 2023 (10:18:08 CEST)

A peer-reviewed article of this Preprint also exists.

Sabatino, L.; Moffa, A.; Iafrati, F.; Di Giovanni, S.; De Benedetto, L.; Giorgi, L.; Baptista, P.; Vicini, C.; De Vito, A.; Casale, M. A New Lighting System for Surgical Vision Optimization in Barbed Pharyngoplasty for OSA. J. Pers. Med. 2023, 13, 1320. Sabatino, L.; Moffa, A.; Iafrati, F.; Di Giovanni, S.; De Benedetto, L.; Giorgi, L.; Baptista, P.; Vicini, C.; De Vito, A.; Casale, M. A New Lighting System for Surgical Vision Optimization in Barbed Pharyngoplasty for OSA. J. Pers. Med. 2023, 13, 1320.

Abstract

Obstructive Sleep Apnea (OSA) surgery is now a viable solution in selected patients and the “remodelling” palatopharyngeal surgery is the most common one. Recently it becomes less in-vasive with the introduction of Barbed Sutures (BS). An optimization of surgical technique is represented by Barbed pharyngoplasty (BP), that requires surgical precision and needs efficient and precise oropharyngeal visualization. Consequently, the lighting system is of pivotal im-portance in BP. The aim of this work is to describe the first experience on the use of a new light-ing system, called KlaroTM in BP for OSA. We evaluated the Klaro™ system in 15 consecutives BP for OSA in comparison with conventional headlamp illumination. The visualization of pala-topharyngeal muscle in the bottom of the tonsillar fossa, entry and exit needle, such as needle tip were statistically better with KlaroTM than headlamp illumination both for surgeon and resi-dent (p<0.05). No significant differences for the visualization of the posterior pharyngeal wall and uvula were reported. The KlaroTM lighting system allows a satisfied illumination of oral cavity and oropharynx in the majority of cases. We encourage to use of KlaroTM not only in BP for OSA, but also in all oral and pharyngeal surgeries, including tonsillectomy and oncological surgery.

Keywords

barbed pharyngoplasty; lighting system; surgical vision; oral cavity: klaro

Subject

Medicine and Pharmacology, Otolaryngology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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