Overview
Laryngoscopy is a diagnostic procedure used to examine the larynx and vocal cords using a laryngoscope or flexible endoscope.
Laryngoscopy is essential for diagnosing voice disorders, laryngeal lesions, airway problems, and vocal cord pathology.
Learn more in our comprehensive RxDx ENT Course
Indications
Hoarseness, dysphonia
Suspected tumors, polyps
Stridor, dyspnea
Suspected foreign body
Post-treatment evaluation
Contraindications
Absolute Contraindications
Relative Contraindications
📋 Equipment Checklist
Check off items as you gather them:
Pre-procedure Preparation
Preparation includes patient explanation, equipment setup, and understanding the laryngeal anatomy.Step-by-Step Procedure
Step 1: Patient Preparation
Explain procedure, position patient.
⚠️ Common Mistakes to Avoid:
- Inadequate explanation
- Poor positioning
💡 Pro Tip:
Position patient comfortably.
Step 2: Topical Anesthesia
Apply topical anesthetic.
⚠️ Common Mistakes to Avoid:
- Inadequate anesthesia
- Patient discomfort
💡 Pro Tip:
Use proper technique.
Step 3: Laryngoscope Insertion
Insert laryngoscope gently.
⚠️ Common Mistakes to Avoid:
- Rough insertion
- Patient discomfort
💡 Pro Tip:
Use gentle technique.
Step 4: Systematic Examination
Examine laryngeal structures.
⚠️ Common Mistakes to Avoid:
- Incomplete examination
- Missed pathology
💡 Pro Tip:
Follow systematic approach.
Step 5: Documentation
Document findings and take images.
⚠️ Common Mistakes to Avoid:
- Poor documentation
- Incomplete records
💡 Pro Tip:
Document thoroughly.
Step 6: Post-procedure Care
Provide instructions and follow-up plan.
⚠️ Common Mistakes to Avoid:
- Inadequate instructions
- No follow-up
💡 Pro Tip:
Provide clear instructions.
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Post-procedure Care
Post-procedure care involves result interpretation, documentation, and appropriate clinical correlation.Complications & Management
| Complication | Incidence | Signs | Management | Prevention |
|---|---|---|---|---|
| Laryngeal trauma | 1-2% | Pain, bleeding | Observation, treatment | Gentle technique |
| Vasovagal syncope | 0.5-1% | Dizziness, fainting | Lay flat, monitor | Gentle technique |
| Infection | 0.1-0.5% | Fever, pain | Antibiotics | Sterile technique |
| Discomfort | 5-10% | Pain, irritation | Reassurance | Proper preparation |
Clinical Pearls
Use gentle technique throughout.
Follow systematic examination approach.
Document all findings thoroughly.
Look for subtle abnormalities.
Take images when appropriate.
Provide clear explanation to patient.
Be prepared for emergencies.