CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2011; 02(01): 006-008
DOI: 10.1055/s-0039-1700252
Original Article
Society of Gastrointestinal Endoscopy of India

Direct Laryngoscopy Using a Videogastroscope : A New Technique

Vijant Singh Chandail
Postgraduate Department of Medicine and Hospital (ASCOMS), Sidhra, Jammu, India
,
Vinu Jamwal
Postgraduate Department of Medicine and Hospital (ASCOMS), Sidhra, Jammu, India
,
J Paul Kanotra
1   Department of ENT Acharya Shree Chander College of Medical Sciences & Hospital (ASCOMS), Sidhra, Jammu, India
› Author Affiliations
Further Information

Publication History

Received: 26 September 2010

Accepted: 12 December 2010

Publication Date:
26 September 2019 (online)

ABSTRACT

Background and objectives: Although indirect laryngoscopy is commonly used method for evaluation of laryngeal disorders in outpatient Ear, Nose and Throat Department (ENT) but proper and accurate diagnosis is not possible in every patient. The direct laryngoscopy using fiberoptic- or video- laryngoscopy has been shown to be a valuable tool in the examination of laryngeal and supraglottic anatomy and pathology. Our goal was to develop a new diagnostic method wherein direct laryngoscopy can be performed by videogastroscope which unlike fiberoptic- or video- laryngoscopy, is readily available at most of the centres.

Methods: Between May 2009 and December 2009, 1462 consecutive patients underwent indirect laryngoscopy for evaluation of laryngeal disorders at ENT outpatient department. Fifty-two (93.6%) consecutive patients who had unsuccessful, inconclusive or incomplete examination underwent direct laryngoscopy with videogastroscope.

Results: The study group consisted of 39 males and 13 females with mean age of 34.8 ± 11 years (range 14 to 58 years). The following abnormalities were found in vocal cords in 31 (59.6%) patients: cancer in 8 patients; leukoplakia, 6; cases, nodules, 6; palsy, 5; epitheloid granuloma, 2; submucosal hemorrhages, 2; and polyp in 2.

Conclusions: Direct laryngoscopy using videogastroscope is safe, feasible and highly accurate for the diagnosis of laryngeal disorders.( J Dig Endos2011;2(1):6-8)

 
  • References

  • 1 Schindler O, Ruoppolo G, Schindler A. Deglutologia. Torino: Ed. Omega; 2001.
  • 2 Bastian RW. Videoendoscopic evaluation of patients with dysphagia: an adjunct to the modified barium swallow. Otolaryngol Head Neck Surg 1991;104:339-50.
  • 3 Naganoab H, Yoshifukubc K, Kuronoc Y. A useful procedure for observing the cervical esophagus via the hypopharynx. Auris Nasus Larynx 2010;37:713-9.
  • 4 Schindler A, Capaccio P, Ottaviani F. Videoendoscopic surgery for inaccessible glottic lesions. J Laryngol Otol 2005; 119:899-902.
  • 5 Eller R, Ginsburg M, Lurie D, Heman-Ackah Y, Lyons K, Sataloff R. Flexible laryngoscopy: a comparison of fiber optic and distal chip technologies. Part 1: vocal fold masses. 2008;22:746-50.
  • 6 Hhhh Kaplan MB, Hagberg CA, Ward DS, et al. Comparison of direct and video-assisted views of the larynx during routine intubation. J Clin Anesth 2006;18:357-62.
  • 7 Kaplan MB, Ward DS, Berci G. A new video laryngoscope-an aid to intubation and teaching. J Clin Anesth 2003;14:620-6
  • 8 Enomoto Y, Asai T, Arai T, Kamishima K, Okuda Y. Pentax-AWS, a new videolaryngoscope, is more effective than the Macintosh laryngoscope for tracheal intubation in patients with restricted neck movements: a randomized comparative study. Br J Anaesth 2008;100:544-8.