Dental impression silicone putty in transoral laser laryngeal surgery: prevention of oral complications

Niccolò Cerchiai; Valentina Mancini; Miriana Picariello; Giandomenico Maggiore; Luca Muscatello; Paolo Iannicelli; Gianluca Leopardi

doi:10.14639/0392-100X-N2543

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Dental impression silicone putty in transoral laser laryngeal surgery: prevention of oral complications

Niccolò Cerchiai Valentina Mancini Miriana Picariello Giandomenico Maggiore Luca Muscatello Paolo Iannicelli Gianluca Leopardi

Unit of Otolaryngology, “S. Giuseppe Hospital”, Empoli (FI), Italy

Department of Otorhinolaryngology, Careggi University Hospital, Florence, Italy

Unit of Otorhinolaryngology, Apuane Hospital, Massa, Italy

Unit of Otolaryngology, “S. Giuseppe Hospital”, Empoli (FI), Italy

larynx laser microsurgery oral complications dental injury

Abstract

Objective. To describe a new method to improve the exposure of the surgical field and to protect the oral cavity during transoral laser micro-surgery (TOLMS) of the larynx.
Methods. Dental Impression Silicone Putty (DISP) was employed as an alternative to traditional mouthguards.
Results. DISP mouthguards perfectly fit to each patient, reduce encumbrance in the mouth, and reduce pressure on the teeth; disadvantages are minimal.
Conclusions. Although clinical studies are necessary to demonstrate the efficacy of the method in reducing the incidence of oral complications, DISP mouthguards represent a significant aid for laryngeal exposure.