Muhammad Shafi, Arsalan Ahmed Shaikh, Jamil Ahmed.
Flexible Fiberoptic Naso-pharyngolaryngoscopy: Indications and Outcome.
J Surg Pak Jan ;20(2):56-9.

Objective: To find the indications and outcome of flexible fiberoptic naso-pharyngo-laryngoscopy in ENT practice. Study design: Case series. Place & Duration of study: Department of E.N.T. & Head Neck surgery, Liaquat University Hospital Hyderabad, from February 2013 to January 2015. Methodology: All patients with upper airway problems in whom flexible fiberoptic naso-pharyngolaryngoscopy (FFONPL) performed were included. Results: A total of 437 patients were included in this study. There were 228 (52.2%) males and 209 (47.8%) females. The age range was from 8 year to 80 year with mean age of 45.87 year. It was performed for diagnostic purpose in 351(80.3%) patients having voice and swallowing problems. It was possible to identify structural etiology in all cases. It was used in follow up of 73 patients for residual disease who had chemo radiotherapy for different tumors. Of these, in 54 (73.97%) patients the airway was patent to allow the removal of tracheostomy tubes. In 13 cases it was used to facilitate passage of nasotracheal tube in patients with ankylosis of temporomandibular joint. It was successful in 12 cases. Conclusion: FFONPL is an effective and safe tool for various ENT related pathologies.

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