PMID: 9430755Feb 12, 1998Paper

A prospective, double-blind, randomized study on the use of a topical anesthetic, vasoconstrictor, and placebo during transnasal flexible fiberoptic endoscopy

Journal of Speech, Language, and Hearing Research : JSLHR
Steven B LederC T Sasaki

Abstract

The purpose of the present study was to compare patient comfort levels following administration of a topical anesthetic, vasoconstrictor, placebo, or nothing to the nasal mucosa prior to flexible fiberoptic transnasal endoscopy. Using a prospective, double-blind, randomized design, 152 consecutive patients were randomly assigned to receive a topical anesthetic (N = 54), vasoconstrictor (N = 50), or placebo (N = 48). No significant differences were found among the three variables. An additional 50 consecutive patients had endoscopy performed without administration of any substance to the nares, and no significant differences were found among the four variables (N = 202). It was concluded that speech-language pathologists can perform independent and comfortable transnasal endoscopy without administration of any substance to the nasal mucosa. Flexible fiberoptic endoscopy, however, should be performed by experienced clinicians with care taken to examine visually the patency of both nares for ease and comfort of scope insertion.

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Citations

Jul 25, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Alexandra StreckfussIngo Baumann
Apr 1, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Se Hwan HwangJun Myung Kang
Nov 23, 2005·Journal of Voice : Official Journal of the Voice Foundation·Margaret A Jacobs, Dianna T Kenny
May 17, 2001·Current Gastroenterology Reports·D M Staff, R Shaker
Dec 7, 2007·Dysphagia·Debra M Suiter, Steven B Leder
Nov 11, 2010·Dysphagia·Steven B LederBarry G Green
Aug 23, 2011·Dysphagia·Steven B LederBenjamin L Judson
Jul 21, 2009·Neuromuscular Disorders : NMD·Tobias WarneckeRainer Dziewas
Dec 18, 2009·American Journal of Otolaryngology·Constantinos BouroliasPanagiotis Tsoukarelis
Aug 5, 2003·The Laryngoscope·Susan G Hiss, Gregory N Postma
Apr 14, 2012·The Laryngoscope·Julina OngkasuwanMark S Courey
Apr 5, 2013·The Laryngoscope·Scott LesterSusan G Butler
Oct 25, 2011·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·J P BonaparteS Kilty
Jul 16, 2010·Movement Disorders : Official Journal of the Movement Disorder Society·Tobias WarneckeRainer Dziewas
Nov 26, 2013·The Laryngoscope·Veronica SecciaStefano Sellari-Franceschini
Jul 22, 2014·Acta otorrinolaringológica española·Carlos Miguel Chiesa EstombaCarmelo Santidrián Hidalgo
Jul 28, 2016·Clinical and Experimental Otorhinolaryngology·Mehmet İlhan ŞahinYaşar Ünlü
Mar 10, 2012·QJM : Monthly Journal of the Association of Physicians·S B Leder, M Z Lerner
Sep 21, 2005·Dysphagia·Steven B Leder, Douglas A Ross
Apr 1, 2008·Archives of Physical Medicine and Rehabilitation·Steven B Leder, Debra M Suiter
Jan 23, 2003·The Annals of Otology, Rhinology, and Laryngology·Paul E JohnsonGregory N Postma
Feb 11, 2015·The Annals of Otology, Rhinology, and Laryngology·Meredith B O'DeaSusan G Butler
Sep 11, 2014·The Annals of Otology, Rhinology, and Laryngology·Tim A FifeCatherine Rees Lintzenich
May 31, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Florence PorezLudovic de Gabory
Nov 27, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Debra M Suiter, Mary Katherine Moorhead
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sarah Pilsworth
Sep 9, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Chad Whited, Seth M Cohen
Aug 4, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FattalSteven B Leder
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Steven B LederLynn M Acton
Feb 10, 2009·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Debra M SuiterDavid E Karas
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Jul 13, 2000·The Laryngoscope·S B Leder, D E Karas
Feb 2, 2000·The Journal of Head Trauma Rehabilitation·S B Leder

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