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ROLE OF FLEXIBLE FIBREOPTIC LARYNGOSCOPY AND RIGID DIRECT LARYNGOSCOPY IN PATIENTS WITH HOARSENESS AND DYSPHAGIA - A COMPARATIVE STUDY

Abhishek Sharma, Rakesh Maran

Abstract


Objectives: To compare results of Flexible Fibreoptic laryngoscopy with that of Rigid direct laryngoscopy in patients presented with Hoarseness and Dysphagia.

Introduction: Laryngoscopy is examination or visualization of laryngeal structures which can be flexible or rigid. Flexible laryngoscope is usually done under local anaesthesia in adults and general anaesthesia in children. Rigid direct laryngoscope is usually done under general anaesthesia but can be done in local also. Earlier pharyngeal and laryngeal pathologies required hospitalization for examination and procedure with rigid laryngoscopy under general anaesthesia but when flexible laryngoscopy come in use these procedures can be done under local anaesthesia in OPD basis which decrease not only patients and doctors valuable time but also economic burden.

Materials and Methods: This is retrospective study from August 2015 to August 2017 in department of the ENT and department of Surgery in Chirayu medical college and hospital, Bhopal, Madhya Pradesh. Total 300 patients were taken with age group of 15 to 80 who presented with symptoms of hoarseness and Dysphagia. Detailed clinical examination done for odynophagia, difficulty in breathing and cervical lymph nodes. Initially flexible fibro optic laryngoscopy done under local anaesthesia and findings are compared with that of rigid direct laryngoscopy under general anaesthesia.

Conclusion: In our study 180 were male and 120 were female. 92.66 % finding of flexible laryngoscopy simulate with that of direct rigid laryngoscopy whereas 7.34% was different.

Keywords


Flexible nasopharyngo laryngoscopy, Direct laryngoscopy, Hoarseness, Dysphagia, Laryngoscopy, Rigid laryngoscopy.

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References


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