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Diagnostic and therapeutic use of the flexible nasendoscope in the management of an impacted upper oesophageal food bolus

Published online by Cambridge University Press:  08 March 2006

A.S. El-Hawrani ,
N.A. McCluney ,
M.S.W. Lee ,
J.K.V. Clarke  and
W.S. McKerrow
A.S. El-Hawrani
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Raigmore Hospital, Inverness, UK.
N.A. McCluney
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Raigmore Hospital, Inverness, UK.
M.S.W. Lee
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Raigmore Hospital, Inverness, UK.
J.K.V. Clarke
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Raigmore Hospital, Inverness, UK.
W.S. McKerrow
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Raigmore Hospital, Inverness, UK.
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Abstract

The flexible nasendoscope is now an integral tool in most otorhinolaryngology departments for visualizing the hypopharyngolarynx. A technique has been described using themodified Valsalva manoeuvre to improve visualization of the hypopharynx during flexible nasopharyngoscopy. The authors report an alternative technique for visualizing the upper oesophagus using the flexible nasendoscope, and highlight three cases where there was accurate visualization of an impacted oesophageal food bolus. Subsequently, these patients underwent flexible oesophagoscopy to dislodge the foreign body. The authors also describe three cases where the flexiblenasendoscope was successfully used to visualize and negotiate the impacted food bolus beyond the cricopharyngeus. This is a safe and simple procedure performed without any sedation and reduces the need for prolonged hospitalization.

Keywords

EndoscopyFoodForeign BodySurgical Procedures
Type
Brief Report
Information
The Journal of Laryngology & Otology , Volume 118 , Issue 11 , November 2004 , pp. 882 - 884
Copyright
© 2004 Royal Society of Medicine Press

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