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Anatomical parts seen during laryngoscopy. Direct laryngoscopy is carried out (usually) with the patient lying on their back; the laryngoscope is inserted into the mouth on the right side and flipped to the left to trap and move the tongue out of the line of sight, and, depending on the type of blade used, inserted either anterior or posterior to the epiglottis and then lifted with an upwards ...
used in direct laryngoscopy; video link: Jobson Horne's probe with ring curette: to access or clean the external ear: Tuning forks: for various clinical tests of hearing loss; vibration sense test Pritchard's politzerization apparatus: video link: Aural/Ear syringe: used to flush out anything like ear wax or foreign bodies from the external ear
Flexible Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST), is essentially a Flexible Endoscopic Evaluation of Swallowing (FEES) procedure with a formal sensory test (also known as laryngopharyngeal sensory testing) protocol included used to elicit the Laryngeal Adductor Reflex (LAR) directly using air pulses or direct touch with an endoscope.
Indirect laryngoscopy can be highly effective, but requires skill and practice for consistent results. For this reason, many specialist clinics now use fibre-optic nasal endoscopy where a thin and flexible endoscope , inserted through the nostril , is used to clearly visualise the entire pharynx and larynx.
Procedure codes are a sub-type of medical classification used to identify specific surgical, medical, or diagnostic interventions. The structure of the codes will depend on the classification; for example some use a numerical system, others alphanumeric.
[6] [8] In indirect laryngoscopy, the tongue is pulled forward and a laryngeal mirror or a rigid scope is passed through the mouth to examine the larynx. [12] [6] Another variation of indirect laryngoscopy involves passing a flexible scope, known as a fiberscope or endoscope, through the nose and into the throat to visualize the larynx from above.
A systematic review of 42 studies, with 34,513 participants, found that the modified Mallampati score is a good predictor of difficult direct laryngoscopy and intubation, but poor at predicting difficult bag mask ventilation.
Types of coding systems specific to health care include: Diagnostic codes. Are used to determine diseases, disorders, and symptoms; Can be used to measure morbidity and mortality; Examples: ICD-9-CM, ICD-10, ICD-11 [1] Procedural codes. They are numbers or alphanumeric codes used to identify specific health interventions taken by medical ...