**9.2 Endotracheal tube pressure**

Excessive endotracheal tube pressure may impact locally by increasing transmural pressure translating in a putative risk of soft tissue injury and dysphagia development following ACSS, Accordingly, some authors recommend decreasing the endotracheal tube pressure to 20 mmHg during the period of cervical traction [47], or the release of the endotracheal tube pressure and reinflate it after retractor placement to minimize the pressure related damage to the RLN [48].
