Figs. 8.1 and 8.2
Axial and frontal view of technical draw of the initial prototype of the larynx box
Figs. 8.3 and 8.4
Technical draws of the outer footplate of the larynx box. The footplate has both anteroposterior angle control and height control
Figs. 8.5 and 8.6
Technical draws of the inner footplate of the larynx box. The inner footplate has both anteroposterior angle control and height control and moreover has several grooves that allow to adjust two straps to securely fix the larynx
We constructed a dissection station box from CO2 laser-resistant material called Makrolon® (Bayer Material Science). It is composed of linear polycarbonate resins and low-viscosity, high-performance thermoplastics, which completely absorb the laser energy. The polycarbonate is bought as flat plates or cylindrical tubes and thereafter cut into the required forms. The cylindrical container of 25 cm diameter is fixed with liquid bicarbonate glue on a footplate of the same material, measuring 40 cm in length and 30 cm width (Figs. 8.7, 8.8, 8.9, and 8.10). Required material thickness is 8 mm for the straight parts and 4 mm for the tube.
Figs. 8.7 and 8.8
Axial and frontal view of the larynx box
Figs. 8.9 and 8.10
Axial and frontal view of the larynx box equipped with a laryngoscope with integrated 0° endoscope by Storz (LaryngoFIT HAVAS)
The laryngeal support hosted by the dissection station consists of a plate of 13 cm length and 6 cm width, which is articulated for optimal positioning as a function of the laryngeal specimen used (Figs. 8.11 and 8.12).
Figs. 8.11 and 8.12
The polycarbonate plates (inner and outer) which allow a fully stable and secure control of the larynx specimen
During dissection, two straps securely fix the larynx (Fig. 8.13). The specimen remains accessible during the whole procedure through the cap on top of the box. An articulated arm mounted on the footplate holds the laryngoscope, which is introduced into the dissection station through a hole covered by a rubber diaphragm. For optimal exposure and an ergonomic setting, the position of the laryngoscope and the laryngeal support may be amended when required. The transparent material allows constant verification of the accurate placement of the specimen, the laryngoscope and instruments during training (Fig. 8.14). Moreover, it guarantees a hygienic work environment since it can easily be cleaned and disinfected after use (even by a machine).
Fig. 8.13
Two straps securely fix the larynx inside the larynx box. The specimen remains accessible during the whole procedure through the cap on top of the box
Fig. 8.14
The polycarbonate allows constant verification of the accurate placement of the specimen, the laryngoscope, and instruments during training
We used our larynx box equipped with a laryngoscope with integrated 0° endoscope (Karl Storz, Tuttlingen, Germany LaryngoFIT HAVAS) (Fig. 8.15) connected to a portable screen with light source (Karl Storz), which was placed in front of the dissector (Figs. 8.16 and 8.17).