Laryngoscopy for thyroidectomy patients using a portable single use flexible laryngoscope (Ambu® aScope™ 4 RhinoLaryngo Slim): adaptation during covid-19 pandemic

Abstract

Introduction: Evaluating vocal cord mobility is important both before and after thyroid surgery but can result in excess hospital appointments which is unfavorable in the current COVID-19 era. Aim: To describe and demonstrate a successful adaptation during the COVID-19 pandemic using a portable and disposable flexible laryngoscope for vocal cord assessment before and after thyroidectomy. Methods: A description of practice over a 6-month period where the described adapted method was used for 26 thyroidectomy cases. Results: Assessment of vocal cord mobility was performed in all cases with the portable disposable flexible laryngoscope without any issue and no adverse events were encountered. Conclusion: The authors advocate the use of a portable disposable flexible laryngoscope used twice for each patient pre- and postoperatively in thyroid surgery for perioperative vocal cord checks due to the significant advantages in practicality, efficiency and safety; particularly during the covid-19 pandemic.