indirect laryngoscopy


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in·di·rect lar·yn·gos·co·py

inspection of the larynx by means of a reflected image on a mirror.

in·di·rect la·ryn·gos·co·py

(in'di-rekt' lar'in-gos'kŏ-pē)
Inspection of the larynx by means of a reflected image on a mirror.

laryngoscopy

(lăr″ĭn-gŏs′kō-pē)
Visual examination of the interior of the voice box (the larynx) to determine the cause of hoarseness, obtain cultures, remove a foreign body, manage the upper airway, or take biopsies of potentially malignant lesions.

Patient care

Short-acting intravenous sedation or anesthesia is administered along with oxygen. Vital signs and cardiac status are monitored throughout the procedure. After the procedure, the patient is placed in the semi-Fowler position, and vital signs are monitored until stable. Oral intake is withheld until the patient's swallowing reflex has returned, usually within 2 to 8 hr. An emesis basin is provided for saliva. Sputum is inspected for blood. Excessive bleeding is reported. Application of an ice collar helps to minimize edema; subcutaneous crepitus around the face or neck should be reported immediately because it may indicate tracheal perforation. The patient should not cough or clear the throat for at least 24 hr to minimize irritation. Smokers who undergo laryngoscopy should be encouraged to quit; preparation for the procedure and after-procedure care provide “teachable moments.”

CAUTION!

1. Visualization of the larynx isassociated with aerosolization ofupper airway secretions. Standard precautions and droplet precautions are required during the procedure to limit the spread of infectious diseases such as severe acute respiratory distress syndrome (SARS) or tuberculosis. 2. Laser safety precautions must be employed when lasers are used.

direct laryngoscopy

Laryngoscopy with a laryngeal speculum or laryngoscope.

indirect laryngoscopy

Laryngoscopy with a mirror.
References in periodicals archive ?
All patients underwent indirect laryngoscopy upon admission.
Caption: Figure 3: Indirect laryngoscopy on ward one week following debridement showing reproliferation of granulation tissue from both vocal cord and airway compromise.
On follow up after six weeks patient was completely asymptomatic, indirect laryngoscopy revealed mobile vocal cords bilaterally and Doppler ultrasound of the neck showed only partial recanalization.
Indirect laryngoscopy was done in all except one patient.
An indirect laryngoscopy with the GVL was performed while maintaining spontaneous ventilation.
Examination of the larynx using a mirror held against the back of the palate (indirect laryngoscopy) or a tube called a laryngoscope (direct laryngoscopy).
Laryngeal evaluation; indirect laryngoscopy to high-speed digital imaging.
Acute pharyngitis, peritonsillar abscess, acute sinusitis, dental abscess, temporomandibular joint syndrome, and cancer of the tongue, salivary glands, or larynx can be excluded by a combination of observation, palpation, and percussion of the structures of the mouth, face, and throat accompanied by direct or indirect laryngoscopy.
Indirect Laryngoscopy (IDL) was done in all the patients as a part of ENT clinical examination and the following results were found; diagnosis of vocal nodules made in 14 patients (23.33%), Vocal polyps in 06 (10%), Papilloma in 04 (6.66%) and Retention Cyst in 02 (3.33%) (Table 8).
A suspected hematoma should be confirmed by an otolaryngologist via indirect laryngoscopy or flexible nasal endoscopy.
All patients were diagnosed by indirect laryngoscopy supplemented by flexible nasopharyngosopy whenever required.

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