Intranasal Scope Negotiation Trajectories for Flexible Nasopharyngolaryngoscopy
Background and Objectives Flexible nasopharyngolaryngoscopy (F-NPLS) is a routine procedure performed in office settings. We compared two different intranasal scope navigation techniques used during F-NPLS, evaluating patient comfort and practitioner satisfaction. Methods This is a prospective, rand...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Rhinologic Society
2024-11-01
|
| Series: | Journal of Rhinology |
| Subjects: | |
| Online Access: | http://j-rhinology.org/upload/pdf/jr-2024-00032.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850163733528051712 |
|---|---|
| author | Vijay Bidkar Kalaiselvi Selvaraj Amrusha Raipure Sandeep Dabhekar Kiran Kumar Prathipati Lisha Sarode |
| author_facet | Vijay Bidkar Kalaiselvi Selvaraj Amrusha Raipure Sandeep Dabhekar Kiran Kumar Prathipati Lisha Sarode |
| author_sort | Vijay Bidkar |
| collection | DOAJ |
| description | Background and Objectives Flexible nasopharyngolaryngoscopy (F-NPLS) is a routine procedure performed in office settings. We compared two different intranasal scope navigation techniques used during F-NPLS, evaluating patient comfort and practitioner satisfaction. Methods This is a prospective, randomized, parallel-group controlled study. Patients undergoing F-NPLS to evaluate the upper airway were enrolled and randomized into two study groups. Patients in group A underwent intranasal scope negotiation following a trajectory below the middle turbinate; for group B, a trajectory along the inferior turbinate was used. The primary outcome evaluated was the successful, unhindered negotiation of the scope on the first attempt. Secondary outcomes included patient-perceived pain, incidents of mucosal trauma and bleeding, and the frequency and necessity of repeat scopy. Results In total, 111 patients were randomized into group A (n=53) and group B (n=58). Baseline characteristics, such as age and sex, were similar in both groups. There was no statistically significant difference between the groups with respect to the primary outcome (group A: 52.8% vs. group B: 55.2%, p=0.8). The frequency of F-NPLS without episodes of mucosal trauma was significantly higher in group B (group A: 56.9% vs. group B: 35.9%, p=0.004). Mucosal ecchymosis was a common finding in group A (group A: 41.5% vs. group B: 13.8%, p=0.03), while nasal bleeding was more frequently observed in group B, although the difference was not statistically significant (group A: 29.3% vs. group B: 22.6%, p=0.42). Conclusion The present study demonstrated that the success rate of unhindered F-NPLS was comparable between the two trajectories. However, patients experienced moderate to severe pain during repeat scopy compared to the initial F-NPLS attempt. |
| format | Article |
| id | doaj-art-a7bee591eaab4229ac7b4a3e8c0d9e42 |
| institution | OA Journals |
| issn | 1229-1498 2384-4361 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Korean Rhinologic Society |
| record_format | Article |
| series | Journal of Rhinology |
| spelling | doaj-art-a7bee591eaab4229ac7b4a3e8c0d9e422025-08-20T02:22:10ZengKorean Rhinologic SocietyJournal of Rhinology1229-14982384-43612024-11-0131315616110.18787/jr.2024.00032823Intranasal Scope Negotiation Trajectories for Flexible NasopharyngolaryngoscopyVijay Bidkar0Kalaiselvi Selvaraj1Amrusha Raipure2Sandeep Dabhekar3Kiran Kumar Prathipati4Lisha Sarode5 Department of ENT, All India Institute of Medical Sciences, Nagpur, India Department of Community Medicine, All India Institute of Medical Sciences, Madurai, India Department of Anesthesiology, All India Institute of Medical Sciences, Nagpur, India Department of ENT, All India Institute of Medical Sciences, Nagpur, India Department of ENT, All India Institute of Medical Sciences, Nagpur, India Department of ENT, All India Institute of Medical Sciences, Nagpur, IndiaBackground and Objectives Flexible nasopharyngolaryngoscopy (F-NPLS) is a routine procedure performed in office settings. We compared two different intranasal scope navigation techniques used during F-NPLS, evaluating patient comfort and practitioner satisfaction. Methods This is a prospective, randomized, parallel-group controlled study. Patients undergoing F-NPLS to evaluate the upper airway were enrolled and randomized into two study groups. Patients in group A underwent intranasal scope negotiation following a trajectory below the middle turbinate; for group B, a trajectory along the inferior turbinate was used. The primary outcome evaluated was the successful, unhindered negotiation of the scope on the first attempt. Secondary outcomes included patient-perceived pain, incidents of mucosal trauma and bleeding, and the frequency and necessity of repeat scopy. Results In total, 111 patients were randomized into group A (n=53) and group B (n=58). Baseline characteristics, such as age and sex, were similar in both groups. There was no statistically significant difference between the groups with respect to the primary outcome (group A: 52.8% vs. group B: 55.2%, p=0.8). The frequency of F-NPLS without episodes of mucosal trauma was significantly higher in group B (group A: 56.9% vs. group B: 35.9%, p=0.004). Mucosal ecchymosis was a common finding in group A (group A: 41.5% vs. group B: 13.8%, p=0.03), while nasal bleeding was more frequently observed in group B, although the difference was not statistically significant (group A: 29.3% vs. group B: 22.6%, p=0.42). Conclusion The present study demonstrated that the success rate of unhindered F-NPLS was comparable between the two trajectories. However, patients experienced moderate to severe pain during repeat scopy compared to the initial F-NPLS attempt.http://j-rhinology.org/upload/pdf/jr-2024-00032.pdfnoselaryngoscopyendoscopic surgicalpain |
| spellingShingle | Vijay Bidkar Kalaiselvi Selvaraj Amrusha Raipure Sandeep Dabhekar Kiran Kumar Prathipati Lisha Sarode Intranasal Scope Negotiation Trajectories for Flexible Nasopharyngolaryngoscopy Journal of Rhinology nose laryngoscopy endoscopic surgical pain |
| title | Intranasal Scope Negotiation Trajectories for Flexible Nasopharyngolaryngoscopy |
| title_full | Intranasal Scope Negotiation Trajectories for Flexible Nasopharyngolaryngoscopy |
| title_fullStr | Intranasal Scope Negotiation Trajectories for Flexible Nasopharyngolaryngoscopy |
| title_full_unstemmed | Intranasal Scope Negotiation Trajectories for Flexible Nasopharyngolaryngoscopy |
| title_short | Intranasal Scope Negotiation Trajectories for Flexible Nasopharyngolaryngoscopy |
| title_sort | intranasal scope negotiation trajectories for flexible nasopharyngolaryngoscopy |
| topic | nose laryngoscopy endoscopic surgical pain |
| url | http://j-rhinology.org/upload/pdf/jr-2024-00032.pdf |
| work_keys_str_mv | AT vijaybidkar intranasalscopenegotiationtrajectoriesforflexiblenasopharyngolaryngoscopy AT kalaiselviselvaraj intranasalscopenegotiationtrajectoriesforflexiblenasopharyngolaryngoscopy AT amrusharaipure intranasalscopenegotiationtrajectoriesforflexiblenasopharyngolaryngoscopy AT sandeepdabhekar intranasalscopenegotiationtrajectoriesforflexiblenasopharyngolaryngoscopy AT kirankumarprathipati intranasalscopenegotiationtrajectoriesforflexiblenasopharyngolaryngoscopy AT lishasarode intranasalscopenegotiationtrajectoriesforflexiblenasopharyngolaryngoscopy |