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Panendoscopy
This document provides information on various endoscopic procedures used in diagnosing and treating conditions of the nasal cavity, throat, esophagus, and lungs. It describes the indications, contraindications, procedures, and potential complications of nasal endoscopy, videolaryngoscopy, esophagoscopy, bronchoscopy, and nasopharyngoscopy/rigid pharyngolaryngoscopy. Key details covered include the diagnostic and therapeutic uses of each scope, as well as size recommendations for pediatric versus adult procedures.
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Panendoscopy
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- 2. • Nasal Endoscope •VDL • Esophagoscope • Bronchoscope • Nasopharyngoscope • RPL Indications • Secondary neck
- 3. Nasal Endoscope Diagnostic Indication Ostiomeatal Complex Mucosalcolour Endoluminal pathology Polyps/DNS/Bleeding site/Secretions/Eschar Anatomical variations Decongestive test-sinusitis/neuralgia Nasopharyngeal examination-Eustachian tube patency test
- 4. Therapeutic acute sinustis-removal ofsecretions Post operative cleaning Cauterisation of bleeding site Biopsy from nose and nasopharynx
- 5. Procedure • Local Anaesthesia •First pass-Nasolachrimal duct,choana • Second pass-middle meatus • Third pass-Sphenoethmoidal recess • Scopes used-0 degree, 30 degree
- 6. VDL • INDICATION-DL scootcontraindicated in cases of spinal disorders • Diagnostic • Larynx and laryngopharynx examination • Vocal cord status • CONFIRM IDL Findings • Documentation and recording • Stroboscopy(mucosal wave pattern ,early vocal cord lesions and it's recovery
- 8. Therapeutic • Foreign bodyvisualisation and removal • Biopsy
- 9. Oesophagoscopy • Rigid/Fibreoptic • Indications •Diagnostic • Foreign body, structure, esophageal varices, tracheoesophageal fistula, growth. • Therapeutic • Foreign body removal • Bougies for dilatation • Sclerotherapy • Endoscopic pharyngeal pouch excision
- 10. Contraindications • Spinal disorders •Aortic aneurysm • Mediastinal growth • Trismus
- 11. Complication • Injury tolips teeth tongue, posterior pharyngeal wall. • Esophageal perforation/tear
- 13. Bronchoscope • Rigid/Fibreoptic • Diagnostic •Diagnostic examination in case of lung collapse • Foreign body • Biopsy/scrapings • Tracheobronchial toilet • Contraindictions • Cervical spine diseases • Aneurysm of aorta
- 14. Complications • Injury tolips teeth • Laryngeal edema • Hemmorhage • Pneumothorax • Emphysema • Hypoxia
- 15. Size Pediatric • Newborn-2.5 size •Up-to 9 months-3 • 9 months -1.5 years-3.5 • Above 2 years-4 Adult • Size 4 • Jet ventilation
- 17. Nasopharyngoscope/RPL VDL /DL scopycontraindicated-pediatric cases, cervical spine disease
- 19. DL Scopy • Indication •IDL /VDL not possible(pediatric- laryngomalacia,hooded epiglottis) • hidden areas of larynx • Directly visualise the larynx • Therapeutic • GA Intubation • Foreign body removal from larynx,laryngopharynx, • Biopsy • Introductionof bronchoscope esophagoscope.
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- 21. Complications • Injury tolips, teeth posterior pharyngeal wall • Procedure • local /GA • position-boyce position flexion at neck extension at atlantooccipital joint • Jackson-distal illumination • Negus-proximal illumination
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