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Local anesthesia with blue-dyed lidocaine for a better patient’s tolerance during office-based laryngology procedures: how I do it

  • How I do it
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Abstract

Background

In-office laryngological procedures became common alternatives to general anesthesia for biopsies, injection laryngoplasties, and laser procedures. The limiting step remains the laryngeal anesthesia whose quality can influence patients’ and operators’ comfort.

Methods

We propose to dye the lidocaine with methylene blue and do an instillation through a catheter introduced in the video-endoscope’s operating channel, which permits a progressive anesthesia focused on the larynx, avoiding an unwanted pharyngeal anesthesia and any tracheal irritation.

Conclusion

Using blue-dyed lidocaine can help reduce the volume of anesthesia required for an office-based laryngology intervention, improving patients’ and surgeon’s comfort and reducing anesthesia’s side effects.

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Data availability

Further data that support this technique are available from the corresponding author upon request.

References

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Author information

Authors and Affiliations

  1. Department of Oto-Rhino-Laryngology and Head and Neck Surgery, AP-HM, La Conception University Hospital, Aix-Marseille University, 147 Boulevard Baille, 13385 CEDEX 5, Marseille, France

    Ralph Haddad, Alexia Mattei & Antoine Giovanni

Authors
  1. Ralph Haddad
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  2. Alexia Mattei
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  3. Antoine Giovanni
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Corresponding author

Correspondence to Ralph Haddad.

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Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary Instillation of blue-dyed lidocaine first in the vallecula and on the tip of the epiglottis then on the aryepiglottic folds and progressively on the vocal folds. file1 (MP4 81955 KB)

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Haddad, R., Mattei, A. & Giovanni, A. Local anesthesia with blue-dyed lidocaine for a better patient’s tolerance during office-based laryngology procedures: how I do it. Eur Arch Otorhinolaryngol 280, 5139–5141 (2023). https://doi.org/10.1007/s00405-023-08146-y

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  • DOI: https://doi.org/10.1007/s00405-023-08146-y

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