Ricci Maccarini A, Stacchini M, Salsi D, Pieri F, Magnani M, Casolino D
Department of Surgical Specialities, Otorhinolaryngology Unit, Bufalini Hospital, Cesena, Italy.
Acta Otorhinolaryngol Ital. 2007 Dec;27(6):290-3.
Laryngeal endoscopy plays a determinant role in clinical evaluation of dysphagia. The examination is performed by means of a trans-nasal approach with a flexible fiberoptic endoscope, able to visualize the pre- and post-deglutitory steps of the pharyngeal phase of swallowing. In patients with tracheostomy, it is possible to visualize the glottic or neoglottic function during the intra-deglutitory phase, performing the examination through a trans-tracheostomic route. The procedure and indications of this endoscopic technique are described.
喉镜检查在吞咽困难的临床评估中起着决定性作用。该检查通过使用可弯曲纤维内窥镜经鼻途径进行，能够观察吞咽咽部阶段吞咽前和吞咽后的步骤。对于气管切开术患者，可通过经气管造口途径进行检查，以观察吞咽过程中声门或新声门的功能。本文描述了这种内窥镜技术的操作方法和适应证。
