{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T09:59:39Z","timestamp":1753869579510,"version":"3.41.2"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["SCHU 2563\/8\u20101"],"award-info":[{"award-number":["SCHU 2563\/8\u20101"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The prerequisite for transoral microsurgery of laryngeal lesions is an uninterrupted line of sight to the operative field. Patients with cervical stiffness or anatomical variations that prevent adequate laryngeal exposure are typically unsuitable for this procedure. In such cases, a curved video laryngoscope may facilitate improved access to the larynx. However, conventional suspension laryngoscopy setups are incompatible with standard video laryngoscopes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study evaluates three attachment methods for integrating a curved video laryngoscope into a surgical setup, focusing on their resistance to external forces.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study assessed three different attachment methods (3D\u2010printed clamp vs. metal bracket vs. articulated stand) for a video laryngoscope in a surgical setup. External forces, both lateral and rotational (torque), were applied and continuously measured until laryngeal visualization was compromised by displacement of the video laryngoscope.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The metal bracket demonstrated significantly (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) higher resistance to lateral forces (median 184.49\u2009N, 95% CI [181.59\u2013189.61\u2009N]) compared to the articulated stand (median 88.16\u2009N, 95% CI [76.73\u201388.98\u2009N]) and the 3D\u2010printed clamp (median 55.59\u2009N, 95% CI [54.74\u201357.58\u2009N]). The articulated stand exhibited significantly (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.005) greater torque resistance (median 9.57\u2009N\u2009m, 95% CI [5.65\u20139.87\u2009N\u2009m]) compared to the metal bracket (median 1.58\u2009N\u2009m, 95% CI [1.57\u20132.13\u2009N\u2009m]) and the 3D\u2010printed clamp (median 2.46\u2009N\u2009m, 95% CI [2.24\u20132.79\u2009N\u2009m]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, the articulated stand outperformed the other attachment methods, displaying robust resistance to lateral forces and superior rotational stability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level 4.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.70172","type":"journal-article","created":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T05:38:56Z","timestamp":1748929136000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Comparative Evaluation of Three Different Attachment Methods for a Video Laryngoscope in a Surgical Setting"],"prefix":"10.1002","volume":"10","author":[{"given":"Linus L.","family":"Kienle","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Ulm University Medical Centre  Ulm Germany"},{"name":"Surgical Oncology Ulm i2SOUL Consortium  Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3271-7682","authenticated-orcid":false,"given":"Leon R.","family":"Schild","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Ulm University Medical Centre  Ulm Germany"},{"name":"Surgical Oncology Ulm i2SOUL Consortium  Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas M.","family":"Seitz","sequence":"additional","affiliation":[{"name":"Institute of Orthopaedic Research and Biomechanics Ulm University Medical Centre  Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7149-8481","authenticated-orcid":false,"given":"Viola D.","family":"Hahn","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Ulm University Medical Centre  Ulm Germany"},{"name":"Surgical Oncology Ulm i2SOUL Consortium  Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0628-0608","authenticated-orcid":false,"given":"Jens","family":"Greve","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Ulm University Medical Centre  Ulm Germany"},{"name":"Surgical Oncology Ulm i2SOUL Consortium  Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas K.","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Ulm University Medical Centre  Ulm Germany"},{"name":"Surgical Oncology Ulm i2SOUL Consortium  Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick J.","family":"Schuler","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Heidelberg University Medical Centre  Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7291-7737","authenticated-orcid":false,"given":"Felix","family":"Boehm","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Ulm University Medical Centre  Ulm Germany"},{"name":"Surgical Oncology Ulm i2SOUL Consortium  Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010018\u20105027\u2010z"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000240"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27683"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010016\u20104065\u20107"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010009\u20101028\u20102"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011136.pub3"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2012.703326"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2019.102284"},{"key":"e_1_2_9_10_1","first-page":"45","article-title":"Utility of Glidescope(\u00ae) Videolaryngoscopy in Surgical Procedures Involving the Larynx","volume":"35","author":"Bruno E.","year":"2015","journal-title":"Acta Otorhinolaryngologica Italica"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002221511200271X"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28868"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1515\/cdbme\u20102020\u20100021"}],"container-title":["Laryngoscope Investigative 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