Video rigid laryngeal endoscopy compared to laryngeal mirror examination: An assessment of patient comfort and clinical visualization

Dunklebarger, Joshua; Rhee, Diane; Kim, Seungwon; Ferguson, Berrylin J.

doi:10.1002/lary.20020

Cited by 13 publications

(5 citation statements)

References 3 publications

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“…Pure-tone audiometry may be useful in suspected hearing loss. Historically, mirror examination of the larynx has also been carried out; although it is not discouraged, it should not guide management and has been universally replaced by fibre-optic nasoendoscopy in specialist centres, due to its diagnostic superiority (Dunklebarger, Rhee, Kim, & Ferguson, 2009).…”

Section: Clinical Approachmentioning

confidence: 99%

Hoarseness

2018

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H oarse voice, or dysphonia, is a common presenting complaint in primary care and an important source of patient morbidity. The underlying pathology can vary from benign to immediately life-threatening and structured clinical assessment is essential in differentiating causes and determining management. In this article, we discuss the clinical approach, aetiology and management of the wide range of conditions that lead to dysphonia and provide guidance on referral to specialist care. The GP curriculum and hoarseness Clinical module 3.15: Care of people with ENT, oral and facial problems states that GPs should be able to:. Manage primary contact with patients who have a common/important ENT, oral, or facial problem, e.g. vertigo or tinnitus. Demonstrate knowledge of the scientific backgrounds of symptoms, diagnosis and treatment of ENT, oral and facial conditions. Understand how to recognise rarer but potentially serious conditions such as oral, head and neck cancer. Understand when urgent (or semi-urgent) referral to secondary care may be indicated, e.g. in trauma, epistaxis, quinsy (peritonsillar abscess), severe croup or stridor. Understand when watchful waiting and the use of delayed prescriptions are indicated.. Demonstrate an evidence-based approach to antibiotic prescribing. Demonstrate effective strategies for dealing with parental concerns regarding ENT conditions. Understand and implement the key national guidelines that influence healthcare provision for ENT problems. Terminology Hoarseness can be broadly defined as altered vocal quality, pitch, loudness, or vocal effort that impairs verbal communication or reduces quality of life (Schwartz et al., 2009). Considerable variation exists in the use of the term, but it is generally accepted that hoarseness is a symptom with dysphonia being the corresponding medical diagnosis. It is often confused with disorders of articulation (dysarthria) that result from impaired neuromuscular control (e.g. cerebellar damage) of the mouth and tongue (Swanberg, Nasreddine, Mendez, & Cummings, 2007). Indeed, finding dysphonia in acute ear, nose and throat (ENT) presentations can indicate an often more serious laryngeal pathology.

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Section: Clinical Approachmentioning

confidence: 99%

Hoarseness

2018

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“…9 In addition, the rigid endoscope provided a more complete examination when compared with the mirror laryngoscopy, especially of the anterior glottis.…”

Section: Evaluation Of the Dysphonic Patientmentioning

confidence: 99%

Evaluation of the Dysphonic Patient (in: Function Preservation in Laryngeal Cancer)

Whited

Dailey

2015

Otolaryngologic Clinics of North America

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“…A prospective randomized crossover trial was conducted by Dunklebarger et al to compare video rigid laryngeal endoscopy and laryngeal mirror for examination of larynx in 43 patients [4]. All patients were subjected to single attempt with both methods in alternating order without any topical anesthetics.…”

Section: Examination Of Larynx With Laryngeal Mirrormentioning

confidence: 99%

Laryngeal Examination with Laryngeal Mirror and Laryngoscopy

Kanakarajan¹,

N.K²

2023

Updates on Laryngology

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The management of all laryngeal pathologies begin with a simple and traditional examination with laryngeal mirror. Even though the use of mirror is invaluable, the image is often distorted and misleading in seven different ways. Direct laryngoscopy is a sermon on relaxation and does not require any local or general anesthesia in both children and adults. The greatest advantage of direct laryngoscopy is the presence of oblique illumination. This chapter deals with the different angulations of laryngeal mirrors and its seven drawbacks in detail. This also provides a detailed explanation of direct laryngoscopy technique in children and adults with its axioms and clinical application.

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Video rigid laryngeal endoscopy compared to laryngeal mirror examination: An assessment of patient comfort and clinical visualization

Abstract: VRL is superior to LME for most patients based on comfort, extent of laryngeal examination by the clinician, and patient preference. The majority of patients found visualization of their laryngeal examination during VRL to be helpful.

Cited by 13 publications

References 3 publications

Hoarseness

Hoarseness

Evaluation of the Dysphonic Patient (in: Function Preservation in Laryngeal Cancer)

Laryngeal Examination with Laryngeal Mirror and Laryngoscopy

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