Fiber Optic Laryngoscopy for Head and Neck Cancer: Technique, Limitation and Applications

Authors

  • Ratanavaraha D

Keywords:

Fiber optic laryngoscope, Technique

Abstract

Physical examination in the field of head and neck cancer need high accuracy for diagnosis and treatment planning. Because of the narrowing and complexity of anatomy, it could probably preculde the examination to these area. Fiber Optic Laryngoscope (FOL) was the instrument of choice for the accessible and obviously visible examination, in addition, it is used for the pathologic diagnosis from the lesion biopsy. Although, FOL was popular among Otorhinolaryngologist, head and neck surgeon, according to variability in technique, training protocol or experience of physician could make the different efficacy. The inappropriate technique could cause of missing some finding which should be founded. Reviewing the related literature showed the techniques such as local anesthesia methods that were various and inconclusive. The position of patient during FOL was key to success in finding the occult lesion. Furthermore, the author also suggested some additional technique and limitations from the experience for the improvement of procedure to be more correct and effective

References

Hayashi T, Muto M, Hayashi R, Minashi K, Yano T, Kishimoto S, et al. Usefulness of narrow-band imaging for detecting the primary tumor site in patients with primary unknown cervical lymph node metastasis. Jpn J Clin Oncol 2010;40:537-41.

พระราชบัญญัติสุขภาพแห่งชาติ พ.ศ.2550. ราชกิจจานุเบกษาเล่มที่ 124, ตอนที่ 16. (ลงวันที่ 19 มีนาคม 2550).

Simon RA, Best LMA. Sataloff’s comprehensive textbook of otolaryngology: head & neck surgery: laryngology. New Delhi: Jaypee Brothers Medical; 2016. p. 183-4.

Holsinger FC, Kies MS, Weinstock YE, Lewin JS, Hajibashi S, Nolen DD, et al. Videos in clinical medicine. Examination of the larynx and pharynx. N Engl J Med 2008; 358:e2.

Vanderstock L, Vermeersch H. A new flexible fiberoptic nasopharyngolaryngoscope. Endoscopy 1981; 13:243-5.

Nankivell PC, Pothier DD. Nasal and instrument preparation prior to rigid and flexible nasal endoscopy: a systematic review. J Laryngol Otol 2008;122:1024-8.

Sunkaraneni VS, Jones SE. Topical anaesthetic or vasoconstrictor preparations for flexible fibre-optic nasal pharyngoscopy and laryngoscopy. The Cochrane database of systematic reviews [Internet]. 2011[cited 2019 Sep 10]. Available from: https://www-ncbi-nlm-nih-gov.ejournal. mahidol.ac.th/pubmed/21412890.204 | วารสารกรมการแพทย์

Johnson PE, Belafsky PC, Postma GN. Topical nasal anesthesia for transnasal fiberoptic laryngoscopy: a prospective, double-blind, cross-over study. Otolaryngol Head Neck Surg 2003;128:452-4.

Sadek SA, De R, Scott A, White AP, Wilson PS, Carlin WV. The efficacy of topical anaesthesia in flexible nasendoscopy: a double-blind randomised controlled trial. Clin Otolaryngol Allied Sci 2001;26:25-8.

Latorre F, Klimek L. Does cocaine still have a role in nasal surgery? Drug Saf 1999; 20:9-13.

Smith JC, Rockley TJ. A comparison of cocaine and ‘co-phenylcaine’ local anaesthesia in flexible nasendoscopy. Clin Otolaryngol Allied Sci 2002; 27:192-6.

Pothier DD, Hall CE, Gillett S, Nankivell P. Timing of cophenylcaine administration before rigid nasendoscopy: a randomized, controlled trial. J Laryngol Otol 2007; 121:228-30.

Pothier DD, Awad Z, Whitehouse M, Porter GC. The use of lubrication in flexible fibreoptic nasendoscopy: a randomized controlled trial. Clin Otolaryngol 2005;30:353-6.

Pothier DD, Raghava N, Monteiro P, Awad Z. A randomized controlled trial: is water better than a standard lubricant in nasendoscopy?. Clin Otolaryngol 2006; 31:134-7.

Downloads

Published

01-09-2020

How to Cite

1.
Ratanavaraha D. Fiber Optic Laryngoscopy for Head and Neck Cancer: Technique, Limitation and Applications. J DMS [Internet]. 2020 Sep. 1 [cited 2024 Mar. 19];45(2):200-4. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/245634

Issue

Section

Refresher Course