Can I Undergo Two Laryngoscopy Exams in One Week?

Q: Can I Undergo Two Laryngoscopy Exams in One Week?

Hello： It is acceptable to have endoscopic examinations twice a week, as the anesthetic used for the procedure is only a small amount sprayed in the nasal or oropharyngeal area. <br>Wishing you safety and health. <br>Sincerely, Dr. <br>Cheng Jue-Yi, Director of the Department of

Could you please provide more context or specify what you would like to know about the laryngeal high-speed videoendoscopy examination?

Hello Doctor: Due to frequently giving lectures and answering phone calls at work, I experienced discomfort in my vocal cords over a month ago (on August 19).
I consulted a physician who diagnosed me with laryngitis.
After taking steroids for six days, my condition did not improve.
The doctor prescribed anti-inflammatory medication but did not insist that I continue taking it, so I decided to let it heal on its own.
However, now (on September 25), after speaking for a while, I still feel some swelling, and there is phlegm deep in my throat.
I am considering undergoing an endoscopy next week, as I would like to get confirmation from two nearby hospitals: Tri-Service General Hospital Songshan Branch (on Monday) and National Taiwan University Hospital (on Thursday).
I would like to ask if it is safe to have two endoscopies in one week.
Since the procedure requires anesthesia and involves inserting a scope deep into the throat, I am concerned about any potential harm from having two procedures so close together.
Thank you for your guidance!

A Yan, 30~39 year old female. Ask Date: 2016/09/25

Dr. Zheng Jueyi reply Otolaryngology

Hello: It is acceptable to have endoscopic examinations twice a week, as the anesthetic used for the procedure is only a small amount sprayed in the nasal or oropharyngeal area.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/09/25

More Info

Undergoing two laryngoscopy exams within a week is generally feasible, but there are several important considerations to keep in mind. Laryngoscopy is a procedure that allows a physician to visualize the vocal cords and surrounding structures in the throat. It can be performed using either a flexible or rigid scope, and it often requires local anesthesia or sedation, depending on the specific circumstances and the patient's comfort level.

Safety and Risks
1. Tissue Recovery: After a laryngoscopy, the tissues in the throat may experience some degree of trauma or irritation, especially if the procedure involves instrumentation. Performing another laryngoscopy within a week could potentially exacerbate any existing inflammation or irritation, particularly if the first procedure was invasive or if there were any interventions performed, such as biopsies or removal of lesions.

2. Anesthesia Considerations: If both procedures require sedation or local anesthesia, it is essential to consider the cumulative effects of the anesthetic agents on your body. While most patients tolerate multiple procedures well, there is always a risk of adverse reactions, particularly with repeated exposure to sedatives.

3. Underlying Conditions: If you have ongoing symptoms such as persistent throat discomfort, phlegm, or voice changes, it is crucial to communicate these to your healthcare provider. They may want to assess the need for immediate intervention versus waiting to allow for recovery from the first procedure.

Recommendations
1. Consult Your Physician: Before scheduling the second laryngoscopy, discuss your concerns with your healthcare provider. They can provide personalized advice based on your medical history, the findings from the first laryngoscopy, and the specific reasons for the second procedure.

2. Timing: If possible, consider spacing out the procedures to allow for adequate recovery time. This could help minimize any potential complications and allow for a more accurate assessment during the second exam.

3. Symptom Monitoring: Pay attention to any changes in your symptoms after the first laryngoscopy. If you notice increased pain, swelling, or difficulty breathing, seek medical attention promptly.

Conclusion
In summary, while it is technically possible to undergo two laryngoscopy exams in one week, it is essential to weigh the potential risks and benefits. Close communication with your healthcare provider is crucial to ensure that your health and safety are prioritized. They can help determine the best course of action based on your specific situation, including whether to proceed with both exams or to adjust the timing for optimal recovery and assessment.

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