Title: A simple but novel idea of indirect internal retraction technique of M.M. Sankar with ordinary ET tube for Anterior Cervical Discectomy and Fusion Surgery
Authors: P.Pallavan. M.ch., Dhiraj Patil Sunil.M.S.,Mch., P.Mannar Mannan.Mch., Prof. M.M. Sankar Mch., S.Rajkumar. Mch.
Anterior cervical discectomy and fusion is a commonly performed procedure for prolapse of cervical intervertebral disc. It involves retraction of trachea-oesophageal complex medially and great vessels of neck laterally of for adequate exposure of anterior spinal column in cervical spine surgery. It is known that increased and improper surgical retraction may affect the postoperative dysphagia, hoarseness of voice and vocal cord function. However, until now no evidence supports the fact that whether the type of endotracheal tube (ordinary and flexometallic) and side of its fixation aid in surgical indirect internal retraction. we present: a prospective comparative observational study with ordinary endotracheal tube vs flexometallic endotracheal tube in right sided aproach to determine whether the type of endotracheal tube fixed on the ipsilateral side ,the concept pioneered by our senior author will prevent post operative laryngeal morbidities
Keywords: Anterior cervical discectomy and fusion, Indirect internal retraction, Ordinary endotracheal tube, Flexometallic endotracheal tube, Endotracheal tube, vocal cord paralysis.