Panendoscopy

otorhinolaryngology

1. PANENDOSCOPY

2. Nasal Endoscope VDL Esophagoscope Bronchoscope Nasopharyngoscope RPL Indications Secondary neck

3. Nasal Endoscope Diagnostic Indication Ostiomeatal Complex Mucosal colour Endoluminal pathology Polyps / D N S / B l e e d i n g site/ S e c r e t i o n s / E s c h a r Anatomical variations Decongestive tes t -sinusitis/ n e u r a l g i a Nasopharyngeal examination-Eustachian tube patency test

4. Therapeutic acute sinustis-removal of secretions Post operative cleaning Cauterisation of bleeding site Biopsy from nose and nasopharynx

5. Procedure Local Anaesthesia First pass-Nasolachrimal duct , c h o a n a Second pass-middle meatus Third pass-Sphenoethmoidal recess Scopes used-0 degree, 30 degree

6. VDL INDICATION-DL scoot contraindicated in cases of spinal disorders Diagnos t i c Larynx and laryngopharynx examination Vocal cord status CONFIRM IDL Findings Documentation and recording Stroboscopy( m u c o s a l wave pattern , early vocal cord lesions and it's recovery

7. Therapeutic Foreign body visualisation and removal Biopsy

8. Oesophag o scopy Rigid/ F i b r e o p t i c Indications Diagnostic Foreign body, structure, esophageal varices, tracheoesophageal fistula, growth. Therapeutic Foreign body removal Bougies for dilatation Sclerotherapy Endoscopic pharyngeal pouch excision

9. Contraindications Spinal disorders Aortic aneurysm Mediastinal growth Trismus

10. Complication Injury to lips teeth tongue, posterior pharyngeal wall. Esophageal perforation/ t e a r

11. Bronchoscope Rigid/ F i b r e o p t i c Diagnostic Diagnostic examination in case of lung collapse Foreign body Biopsy / scrapings Tracheobronchial toilet Contraindictions Cervical spine diseases Aneurysm of aorta

12. Complications Injury to lips teeth Laryngeal edema Hemmorhage Pneumothorax Emphysema Hypoxia

13. 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

14. Nasopharyngoscope / R P L VDL / DL sco p y contraindicated - p e d i a t r i c cases , cervical spine disease

15. DL Scopy Indication IDL / VDL not possible( pediatric-laryngomalacia, h o o d e d epiglottis ) hidden areas of larynx Directly visualise the larynx Therapeutic GA Intubation Foreign body removal from larynx , l a r y n g o p h a r y n x , Biopsy Introductionof bronchoscope esophagoscope.

16. Contraindication Cervical spine disease

17. Complications Injury to lips, 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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