Laryngoscopy, flexible; with removal of lesion(s), non-laser
CPT4 code
Name of the Procedure:
Laryngoscopy, flexible; with removal of lesion(s), non-laser Common name(s): Flexible Laryngoscopy with Lesion Removal
Summary
Flexible laryngoscopy with removal of lesions is a medical procedure used to examine the throat and vocal cords using a flexible tube with a camera. During the procedure, non-laser tools are used to remove any abnormal growths or lesions that are found.
Purpose
This procedure addresses issues such as abnormal growths, polyps, nodules, or lesions on the vocal cords or larynx. The goal is to diagnose and treat these lesions, improve voice quality, relieve discomfort, and prevent potential complications like blockage or malignancy.
Indications
- Persistent hoarseness or voice changes
- Difficulty swallowing or breathing
- Throat pain or frequent coughing
- Suspicion of benign or malignant growths Certain conditions such as vocal cord nodules, polyps, or early-stage cancers may make this procedure appropriate.
Preparation
- Fasting for at least 6-8 hours prior to the procedure
- Adjusting or temporarily discontinuing certain medications as advised by the doctor
- Undergoing preliminary diagnostic tests like imaging or blood tests
Procedure Description
- The patient is positioned comfortably and may receive a mild sedative.
- Local anesthesia is applied to numb the throat area.
- A thin, flexible laryngoscope with a camera is gently inserted through the nose or mouth.
- The doctor examines the throat and vocal cords, identifying any lesions.
- Non-laser tools are used to remove the identified lesions.
- The laryngoscope is carefully removed, and the patient is monitored until full recovery from sedation.
Duration
The procedure typically takes about 30 to 60 minutes.
Setting
This procedure is usually performed in a hospital, outpatient clinic, or surgical center.
Personnel
- ENT (Ear, Nose, Throat) specialist or surgeon
- Nurses
- Anesthesiologist (if sedation is used)
Risks and Complications
- Temporary sore throat or hoarseness
- Bleeding at the site of lesion removal
- Infection
- Swelling or difficulty breathing
- Rare but possible risks include damage to vocal cords or neighboring tissues
Benefits
- Accurate diagnosis and effective treatment of throat lesions
- Improvement in voice quality and relief of symptoms
- Prevention of complications like airway obstruction or malignancy Results are typically noticed soon after the procedure, with voice improvement in a few days to weeks.
Recovery
- Follow post-procedure care instructions such as avoiding strenuous vocal activities
- Use prescribed pain relievers and antibiotics if necessary
- Attend follow-up appointments to monitor healing and progress
- Full recovery generally takes a week, but most patients can resume normal activities in a couple of days
Alternatives
- Watchful waiting with regular monitoring
- Laser laryngoscopy for a less invasive removal
- Voice therapy for benign conditions
- Surgery for more extensive growths
- Each option has its own set of pros and cons regarding invasiveness, recovery time, and risks involved.
Patient Experience
During the procedure, the patient may feel mild discomfort or pressure but should not experience significant pain due to local anesthesia. After the procedure, a sore throat and mild hoarseness are common but manageable with medications and proper care.