Indirect laryngoscopy

The advantages of indirect laryngoscopy are simple equipment and uncomplicated operation. The downside is that in patients with pharyngeal reflex sensitivity, thick tongue or inadequate glottic exposure, surgery can be difficult. Treatment of diseases: vocal cord nodules vocal polyps Indication Indirect laryngoscopy is available for: 1. Small benign tumors of the larynx, such as vocal polyps, vocal cord nodules, epiglottic cysts, and laryngeal papilloma. 2. Laryngeal biopsy. Contraindications 1. The pharyngeal reflex is too sensitive. 2. The lesion is located in the anterior commissure, and is difficult in indirect laryngoscopy. Preoperative preparation 1. Explain the surgical procedure and cooperation method to the patient. 2. Regular fasting for 4 hours before surgery. Surgical procedure The patient sits, opens his mouth, and sticks his tongue. The paralyzed patient holds the gauze and pulls the tongue out of the mouth. The operator holds the indirect laryngoscope in one hand and the elbow in the other. The laryngeal forceps are delivered to the hypopharynx under the guidance of an indirect laryngoscope. If the lesion is in the glottic area, the throat will be pressed forward and the glottal area will be fully exposed. The direction of the opening of the forceps should be determined according to the location of the lesion. The principle should be to facilitate the removal of the lesion.

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