A systematic approach to the nasendoscopic examination of the larynx and pharynx.
A systematic approach to the nasendoscopic examination of the larynx and pharynx.
复制标题
喉和咽部鼻内窥镜检查的系统方法。
DOI：
10.1111/j.0307-7772.2004.00784.x
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
A. Karkanevatos
中科院分区：
文献类型：
--
作者：
R. S. Williams;J. Lancaster;Y. Karagama;S. Tandon;A. Karkanevatos
已经描述了几种鼻内窥镜技术，以在评估喉咽时改善不同解剖部位的视野。进行了一项前瞻性研究来比较和评估上呼吸消化道鼻内窥镜检查中使用的每种不同技术所获得的视图。没有发现可视化操作有利于改善舌根的视野；然而，舌头突出确实改善了谷值的视野。当进行喇叭操作并同时进行颈前部的皮肤牵引时，可以最好地看到环状软骨后和上食管括约肌。当喇叭形动作与头部转动相结合时，梨状顶点的观察效果最好——我们认为以前与该主题相关的文献中没有记录过这种动作。作者在获得每个解剖亚部位最佳视图的基础上，提出了通过鼻内窥镜检查上呼吸消化道的系统常规。
Several nasendoscopic techniques have been described to improve the view of different anatomical subsites when assessing the laryngopharynx. A prospective study was undertaken to compare and evaluate the views obtained with each of the different techniques employed in the nasendoscopic examination of the upper aero-digestive tract. No visualization manoeuvres were found to be beneficial in improving the view of the tongue base; however, tongue protrusion did improve the view of the valleculae. Both the post-cricoid and the upper oesophageal sphincter were best seen when the trumpet manoeuvre was performed along with skin traction of the anterior neck. Pyriform apices were best viewed when the trumpet manoeuvre was coupled with head turn - a manoeuvre we believe not to have been recorded in the literature previously with respect to this topic. The authors present a systematic routine for examining the upper aero-digestive tract by nasendoscope on the basis of obtaining the best view for each anatomical subsite.