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A New Method of Applying External Laryngeal Pressure During Microlaryngeal Surgery: The Laryngeal Strap

Since the early 20th century, the application of external laryngeal pressure has been recognized as helpful in enhancing the endoscopic view of the anterior commissure.1-3 The most common method of applying laryngeal pressure is via the surgeon’s hand, but this can limit the ability to perform delicate procedures and excludes bimanual operating. Hand pressure, although often used, is unstable if provided by an assistant and wasteful if provided by the surgeon.4 Other methods of applying external laryngeal pressure have been described, for example Brunings’ external laryngeal counterpressure device,l but this device is not commonly available and is incompatible with most modern microlaryngoscopic equipment. Silk adhesive tape stretched across the cricoid and lower thyroid cartilage and attached to the operating table has also been advocated4; however, this method is not universally popular.