Name of the Procedure:

Laryngoscopy, Indirect; Diagnostic (Separate Procedure)

Summary

An indirect laryngoscopy is a diagnostic procedure used by doctors to look at the voice box (larynx) and throat. It’s done using a small mirror, similar to a dental mirror, to see the area without needing to go inside the throat with a scope.

Purpose

This procedure helps in identifying and evaluating problems in the throat, such as voice disorders, throat pain, difficulty breathing, or changes in the voice. It aids in diagnosing conditions like vocal cord lesions, inflammation, tumors, or structural abnormalities.

Indications

• Persistent hoarseness or voice changes
• Throat pain or difficulty swallowing
• Chronic cough
• Unexplained lumps in the throat or neck
• Screening for tumors or lesions

Preparation

• No specific fasting required, but avoid eating a heavy meal right before the procedure.
• Remove any dental appliances, such as dentures.
• Follow any specific instructions from the healthcare provider, which may include avoiding certain medications.

Procedure Description

1. The patient is positioned comfortably in a chair with good lighting.
2. A topical anesthetic may be sprayed in the throat to minimize discomfort.
3. The doctor uses a small, angled mirror and a light source to view the larynx indirectly.
4. The mirror is gently placed in the back of the throat while the patient is asked to vocalize sounds to help the doctor get a clear view.
5. The procedure typically does not require sedation but a numbing spray may be used.

Duration

The procedure usually takes about 5-10 minutes.

Setting

Usually performed in a doctor's office, outpatient clinic, or ENT (Ear, Nose, and Throat) specialist's office.

Personnel

• Performed by an Ear, Nose, and Throat (ENT) specialist or a trained healthcare provider.
• Assisted by a nurse or medical assistant.

Risks and Complications

• Mild gagging or discomfort during the procedure.
• Rarely, minor injury to the throat.
• In very rare cases, an allergic reaction to the anesthetic spray.

Benefits

• Provides immediate visual information about the condition of the larynx.
• Helps in early diagnosis and treatment of throat issues.
• Non-invasive and quick procedure with minimal discomfort.

Recovery

• Patients can resume normal activities immediately after the procedure.
• Mild throat discomfort may occur, which typically subsides quickly.
• Follow-up appointments may be scheduled if any abnormalities are found.

Alternatives

• Direct laryngoscopy: involves using a flexible or rigid scope for a more detailed examination, often under sedation.
• Imaging studies: CT scans or MRIs can sometimes be used to assess throat structures.
• Stroboscopy: another method providing detailed evaluation of vocal cord vibration.

Patient Experience

• The patient might feel slight discomfort or a gagging sensation during the procedure.
• Numbing spray might leave a temporary numbness and odd taste in the throat.
• Minimal pain, and normal activities can be resumed shortly after the procedure.