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Page 1: For any suggestions please call 0122358933. Laryngeal examination indirect laryngoscopy Laryngeal Mirror Technique of Indirect Laryngoscopy -Warm the

For any suggestions please call0122358933

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Laryngeal examination

indirect laryngoscopy

LaryngealMirror

Technique of Indirect Laryngoscopy-Warm the mirror to the body temperature to avoid fogging of the mirror by the respiratory water vapour- Hold the tongue by a piece of gauze by your left hand-Hold the mirror by your right hand and place against the base of the uvula- Ask the patient to say eeee to assess adduction- Ask the patient to take deep inspiration to assess abduction

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During phonation During quiet inspiration

Base of the tongue

Epiglootis Epiglootis

Pyriform fossa

Vocal folds Ary-epiglottic fold

Arytenoid

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Laryngeal examination

Flexible fiberoptic nasolaryngoscopy

Flexible endoscopic Examination of-Nasal cavity-Nasal cavity-Hypopharynx-Larynx

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Rigid endoscopic examination of the larynx and hypopharynx

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Micro-laryngeal surgery

The use of the operating Microscope in direct Laryngoscopy is called MICRO-LARYNGOSCOPY

Advantage:Provides MagnificationProvides good illumination

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Micro-laryngeal surgery employing laser

Microscope

Laryngoscope

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• Abduction: The vocal cords are apart for breathing in.

• The rings of the trachea can be seen ( yellow arrow).

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• During Phonation the vocal cords are adducted .

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laryngomalacia

• The supraglottis is collapsing inwards during inspiration

Presentation:- Inspiratory stridors- Starts soon after

birth- Improves in prone

position- Normal cry

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Subglottic Hemangiom

aMay be accompanied with

hemangiomas in other sites

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Intubation granuloma

CausesProlonged intubation

Blind intubation

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Vocal nodules

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Multiple Papillomatosis

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EpiglottitisEpiglottitis

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CrouCroupp

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Laryngoscleroma (subglottic web)

Vocal cord

Greenishcrusts

Vocal cord

Rhinoscleroma

Subglottic stenosis

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• a T1 squamous cell carcinoma of the vocal cord • The right picture shows the immediate post-

operative appearance of the vocal cords after surgical biopsy.  This patient will be treated with full course radiation therapy and should have greater than a 90% chance of cure.    

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Laryngeal Carcinoma

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• The picture on the left is a cancer of the epiglottis or top of the voice box.  The middle picture is a cancer of the true vocal cords and the picture on the far right is a cancer of the sub-glottis or below the vocal cords.


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