31577 Laryngoscopy, flexible; with removal of foreign body(s)

Name of the Procedure:

Laryngoscopy, flexible; with removal of foreign body(s)

Summary

A laryngoscopy is a medical procedure where a flexible scope is inserted through the nose or mouth to view the larynx (voice box) and surrounding areas. This particular procedure involves not only examining the larynx but also removing any foreign bodies detected.

Purpose

This procedure is performed to identify and remove foreign objects stuck in the larynx area. Successfully removing the objects helps clear the airway, alleviates symptoms such as pain or difficulty swallowing, and prevents complications like infections or breathing problems.

Indications

• Persistent cough or throat discomfort.
• Difficulty swallowing (dysphagia).
• Known or suspected ingestion of a foreign object.
• Voice changes or hoarseness.
• Unresolved respiratory distress without clear cause.
• Positive imaging studies indicating a foreign body in the airway.

Preparation

• Patients may be instructed to fast for several hours before the procedure.
• Pre-procedure assessments might include imaging studies like X-rays or CT scans, and blood tests.
• Inform your doctor about any medications you are taking, as some might need to be adjusted.

Procedure Description

1. Preparation: After verifying patient details and fasting status, the patient is positioned comfortably.
2. Anesthesia: Local anesthesia is often sprayed in the nose and throat. For some, a mild sedative might be administered.
3. Scope Insertion: A flexible laryngoscope is gently inserted through the nose or mouth.
4. Examination: The laryngoscope transmits images to a monitor, allowing the doctor to closely examine the larynx and locate the foreign body.
5. Removal: Special tools attached to the laryngoscope are used to grasp and remove the foreign object.
6. Conclusion: Once the foreign body is removed and the area is inspected, the scope is carefully withdrawn.

Duration

The procedure typically takes between 15 to 30 minutes.

Setting

This procedure is usually performed in a hospital, outpatient clinic, or specialized surgical center.

Personnel

• An ENT (Ear, Nose, and Throat) specialist or a laryngologist.
• Nurses and medical assistants.
• An anesthesiologist, if sedation is being used.

Risks and Complications

• Common risks: Minor bleeding, temporary sore throat, nasal discomfort.
• Rare risks: Infection, damage to the vocal cords, reaction to anesthesia, aspiration.

Benefits

• Immediate relief from symptoms caused by the foreign body.
• Prevention of potential complications, such as infections or airway obstruction.
• Improvement in swallowing and breathing functions.

Recovery

• Patients may experience slight throat discomfort or hoarseness for a day or two.
• Over-the-counter pain relief can manage discomfort.
• Rest your voice and avoid strenuous activities for a few days.
• A follow-up appointment may be scheduled to ensure there are no complications.

Alternatives

• Wait-and-see approach if the object is small and expected to pass naturally.
• Rigid bronchoscopy or esophagoscopy, more invasive procedures for difficult-to-remove objects.
• Conservative management with symptoms monitoring and medication for minor cases.

Patient Experience

• During the procedure: You may feel slight pressure or mild discomfort as the scope is inserted.
• After the procedure: Expect some throat soreness and a possible slight nosebleed.
• Pain management: Local anesthetics and sedatives, if used, will minimize discomfort during the procedure. Post-procedure pain is usually manageable with over-the-counter medications.