Direct laryngoscopy with biopsy

What is it?

Direct laryngoscopy is performed for examination larynx. It allows the surgeon to examine its structures thoroughly and take a biopsy for the purpose of diagnosis and management.

What is the aim of the procedure?

The procedure allows to closely inspect the larynx and tissue around the larynx. A biopsy or removal abnormal tissue may be performed if required. It the lesion is small, this may be considered therapeutic.

What is done during the procedure?

The larynx is approached through the oral cavity by placing a direct laryngoscope. Cold steel instruments are then used to examine and take samples.

The procedure will be carried out under general anaesthesia. If you have any concerns on the risks and benefits of anaesthesia, please discuss with anaesthetist prior to surgery.

What are the risks associated with the procedure?

Infection of the biopsy site.

Bleeding can occur if patient is on Blood thinner drugs.

Injury to the lips, teeth, gums or tongue.

Swelling of the tissues of the airway leading to difficulty in breathing. This may require insertion of a breathing tube through the mouth till the swelling resolves. Rarely a tracheostomy may be required.

Voice change may occur which may not respond to treatment.

Post-operative care and follow-up:

Discomfort may be present in the throat for a day or two after the procedure, which will resolve spontaneously. Oral feed can be started a few hours after the procedure. Discharge will be planned based on the patient’s general condition. Further management will be based on the histopathological report.