One of the most important steps in the performance of a laryngofissure or hemilaryngectomy consists in the sectioning of the thyroid cartilage in the midline. Various means have been advocated for its accomplishment, such as the use of arc-shaped or bayonet-handled saws, Moure shears and the Jackson turbinotome. The use of the saws is slow and awkward, and not infrequently the teeth catch the tissues of the softer intralaryngeal structures, causing them to be torn and shredded. The use of the Moure shears and the Jackson turbinotome is attended by frequent fracturing or splintering of the alae of the thyroid cartilage. These disagreeable accompaniments of the use of the aforementioned instruments are frequently the cause of delayed union, secondary infection, postoperative deformity and laryngeal stenosis. Of course, such accidents are founded on the fact that the thyroid cartilage becomes hard and brittle in later adult life. It has erroneously been
GUTTMAN MR. ELECTRICALLY DRIVEN CIRCULAR SAW FOR SECTIONING THYROID CARTILAGE. Arch Otolaryngol. 1932;16(6):866. doi:10.1001/archotol.1932.00630040881010
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: