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Preventing trauma during rigid oesophagoscopy in the edentulous patient: how I do it

Published online by Cambridge University Press:  03 June 2020

S Bola ,
A Munnings  and
R Corbridge
S Bola
Affiliation:
Department of Otolaryngology, Royal Berkshire Hospital, Reading, UK
A Munnings*
Affiliation:
Department of Otolaryngology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, UK
R Corbridge
Affiliation:
Department of Otolaryngology, Royal Berkshire Hospital, Reading, UK
*
Author for correspondence: Ms Amberley Munnings, Department of Otolaryngology, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, Headington, OxfordOX3 9DU, UK E-mail: amberley.munnings@ouh.nhs.uk
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Abstract

Background

Rigid oesophagoscopy is a widely used therapeutic and diagnostic procedure. Smooth friction-free insertion of the rigid scope is important to prevent oral and oesophageal mucosal damage, as such damage can cause delays in oral intake or more serious complications such as perforation. Protection appliances such as gum guards are useful adjuncts to cushion the teeth in rigid oesophagoscopy; however, there are no specific adjuncts for the edentulous patient.

Methods

In order to investigate different adjuncts, the force required to pull a standard adult rigid oesophagoscope from a metal clamp whilst enclosed in dry gauze, wet gauze, a gum guard or sleek on gauze was recorded, and a prospective audit of post-procedural trauma was performed.

Results and conclusion

Less force was required to create movement of the scope against sleek on gauze, with a lower rate of oral trauma (8 per cent) compared to that reported in the literature. Sleek on gauze is recommended for the edentulous patient.

Keywords

EsophagoscopyEsophagoscopic Surgical ProceduresEsophagoscopic Surgery, Mouth, EdentulousMouth, Toothless
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 5 , May 2020 , pp. 458 - 459
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Ms A Munnings takes responsibility for the integrity of the content of the paper

References

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