A Prospective Randomized Clinical Study on Comparative Analysis of SaCo VLM LMA and Endotracheal Intubation in Patients Undergoing Tympanoplasty

To overcome these issues, video-assisted laryngeal masks (VLMAs) have been developed, allowing for real-time visualization of glottic structures through integrated camera systems. Data can be provided for patient longevity and durability, comparing ETT and SaCoVLM LMA placement times, number of attempts, hemodynamic responses, stability in head and neck positions, and postoperative changes (throat guarantee, dysphagia, dysphonia, and laryngospasm) across sections in tympanoplasty procedures. In our randomized prospective clinical search, after cases were divided into 2 groups, demographic and operation information, airway device placement trial and duration, hemodynamic data, and postoperative complications were recorded. Patient demographics were homogeneous. Anesthesia duration, operative times, insertion times, and the number of attempts were shorter in the SaCoVLM LMA group. Hemodynamic data showed higher arterial pressures and heart rates immediately after insertion, at 1-minute and 5-minute postinsertion. Postoperative complications were less widespread in the SaCoVLM LMA group. In conclusion, our data analysis suggests that the SaCo VLM LMA may be advantageous over the ETT regarding insertion time, cardiovascular stability, and postoperative complications. However, it should be noted that the placement may shift during use, especially during head rotation, potentially leading to ventilation problems.