Subglottic imaging puncture scope (SIPS) for minimally invasive endoscopy

Abstract Worldwide, thousands of people suffer from laryngeal diseases, many of which involve the posterior glottis or subglottis. These laryngeal areas are challenging to visualize with conventional transnasal and transoral laryngoscopes because the view from above is obscured by the disease itself...

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Main Authors: Joaquin Cury, Ana Karen Delgado Ayala, James Burns, Claus-Peter Richter
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-06792-2
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author Joaquin Cury
Ana Karen Delgado Ayala
James Burns
Claus-Peter Richter
author_facet Joaquin Cury
Ana Karen Delgado Ayala
James Burns
Claus-Peter Richter
author_sort Joaquin Cury
collection DOAJ
description Abstract Worldwide, thousands of people suffer from laryngeal diseases, many of which involve the posterior glottis or subglottis. These laryngeal areas are challenging to visualize with conventional transnasal and transoral laryngoscopes because the view from above is obscured by the disease itself, thereby limiting the efficacy of endoscopy in diagnosis and treatment. Advancements in miniaturized optical systems overcome these limitations and allow for real-time visualization of difficult-to-access laryngeal subsites such as the posterior glottis and subglottis. The present study introduces a novel device, the subglottic imaging puncture scope (SIPS), to access and image the subglottic space via a transcervical puncture. The SIPS has a miniature, high-resolution camera integrated within a medical-grade gauge 18 needle. The small-diameter needle allows for minimal invasiveness, similar to established laryngeal therapeutic drug delivery techniques. A detailed description of the camera and light source alignments are provided. Images from video footage obtained in human cadavers are provided, validating the hypothesis that a minimally invasive device allows imaging of the subglottis. The SIPS will improve diagnostic accuracy and patient comfort, enabling the full extent of subglottic pathology to be imaged on awake patients in a clinical office setting.
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spelling doaj-art-e3b1c56aceda4841b44d47fe9d67bc792025-08-20T03:38:12ZengNature PortfolioScientific Reports2045-23222025-07-011511610.1038/s41598-025-06792-2Subglottic imaging puncture scope (SIPS) for minimally invasive endoscopyJoaquin Cury0Ana Karen Delgado Ayala1James Burns2Claus-Peter Richter3Department of Otolaryngology, Feinberg School of Medicine, Northwestern UniversityRosalind Franklin University of Medicine and ScienceDepartment of Otolaryngology, Feinberg School of Medicine, Northwestern UniversityDepartment of Otolaryngology, Feinberg School of Medicine, Northwestern UniversityAbstract Worldwide, thousands of people suffer from laryngeal diseases, many of which involve the posterior glottis or subglottis. These laryngeal areas are challenging to visualize with conventional transnasal and transoral laryngoscopes because the view from above is obscured by the disease itself, thereby limiting the efficacy of endoscopy in diagnosis and treatment. Advancements in miniaturized optical systems overcome these limitations and allow for real-time visualization of difficult-to-access laryngeal subsites such as the posterior glottis and subglottis. The present study introduces a novel device, the subglottic imaging puncture scope (SIPS), to access and image the subglottic space via a transcervical puncture. The SIPS has a miniature, high-resolution camera integrated within a medical-grade gauge 18 needle. The small-diameter needle allows for minimal invasiveness, similar to established laryngeal therapeutic drug delivery techniques. A detailed description of the camera and light source alignments are provided. Images from video footage obtained in human cadavers are provided, validating the hypothesis that a minimally invasive device allows imaging of the subglottis. The SIPS will improve diagnostic accuracy and patient comfort, enabling the full extent of subglottic pathology to be imaged on awake patients in a clinical office setting.https://doi.org/10.1038/s41598-025-06792-2LaryngoscopySubglottic stenosisMicro-camerasMedical-grade needlesFiber optic image conduits
spellingShingle Joaquin Cury
Ana Karen Delgado Ayala
James Burns
Claus-Peter Richter
Subglottic imaging puncture scope (SIPS) for minimally invasive endoscopy
Scientific Reports
Laryngoscopy
Subglottic stenosis
Micro-cameras
Medical-grade needles
Fiber optic image conduits
title Subglottic imaging puncture scope (SIPS) for minimally invasive endoscopy
title_full Subglottic imaging puncture scope (SIPS) for minimally invasive endoscopy
title_fullStr Subglottic imaging puncture scope (SIPS) for minimally invasive endoscopy
title_full_unstemmed Subglottic imaging puncture scope (SIPS) for minimally invasive endoscopy
title_short Subglottic imaging puncture scope (SIPS) for minimally invasive endoscopy
title_sort subglottic imaging puncture scope sips for minimally invasive endoscopy
topic Laryngoscopy
Subglottic stenosis
Micro-cameras
Medical-grade needles
Fiber optic image conduits
url https://doi.org/10.1038/s41598-025-06792-2
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AT clauspeterrichter subglotticimagingpuncturescopesipsforminimallyinvasiveendoscopy