Initial Evaluation

Hoarseness, stridor, foreign body (globus) sensation, and dysphagia are all symptoms of laryngeal or hypopharyngeal pathology. When a patient presents with any of these persistent symptoms, a complete past medical and social history is essential. In addition, if hoarseness has persisted, laryn-goscopy is indicated. Laryngoscopy can be performed indirectly using a mirror. If the hypopharynx and larynx are not adequately visualized with the mirror because of an excessive gag reflex, direct flexible fiberoptic laryngoscopy can be performed. A topical vasoconstrictor (e.g., 0.5% ephedrine) with a topical anesthetic (e.g., topical lidocaine) can be applied in the nose to improve patient comfort; however, this is not always necessary. The flexible fiberoptic nasopharyngoscope is then passed through the pharynx to visualize the larynx.

Curing Eczema Naturally

Curing Eczema Naturally

Do You Suffer From the Itching, Redness and Scaling of Chronic Eczema? If so you are not ALONE! It strikes men and women young and old! It is not just

Get My Free Ebook


Post a comment