Newborns can endoscopy otorhinolaryngology?

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Nguyen Nam Phong - Pediatrician - Department of Pediatrics - Neonatology, Vinmec Phu Quoc International General Hospital

Otolaryngoscopy is a common technique to help diagnose ENT diseases accurately. Although this technique is effective, it causes discomfort for the patient, especially for young children. Therefore, parents need to be very careful during ENT endoscopy for children.

1. What is ENT technique?

Otolaryngoscopy is a technique that uses a specialized flexible endoscope to bring light into the ENT region. Help the doctor observe every nook and cranny, detect unusual problems, ear, nose and throat lesions, the location of the lesions from which to diagnose the pathology and determine the cause of the disease, give a plan appropriate treatment.
In addition to serving the diagnosis process, otolaryngoscopy is also used to record progress for disease monitoring.
The birth of ENT technique has helped diagnose ENT diseases more accurately and quickly, ending the period of examination with flashlights, tongue pressure, etc. normally.

2. When is the need for ENT endoscopy for children?

Otolaryngoscopy is indicated when the patient has problems with the ear, nose, and throat area that need to be examined to determine the disease status. Children need ENT endoscopy in cases such as:
Children with persistent cough; Children with persistent, recurrent nasal congestion; Children often have nosebleeds; Children with V.A.: persistent green nose, snoring, stuffy nose... Children have hoarseness; Children swallowing problems; Children say tired ; Children with ear pain, pus in the ears, tinnitus... Children suspected of having foreign objects in the ears, nose, throat...

3. Notes on ENT endoscopy for children

Young children often do not cooperate during otolaryngoscopy because the endoscope goes deep into the throat, making it difficult for children to breathe and nausea. Children will have manifestations such as: struggling, crying, scared, screaming, vomiting, cyanosis... If parents do not hold the child tightly, it is easy for the child to struggle during the endoscopy. injury occurs due to the endoscope colliding with the ear, nose and throat area, which can lead to bleeding.
When performing ENT endoscopy for children, it is important to note:
3.1 For older children Explain to children about the endoscopic procedure. Help children prepare psychologically, guide children to cooperate in the implementation process. Children just need to sit still, do not move their head, do not turn around for a short period of time.
3.2 With young children Small babies are not yet able to perceive, so parents only have to hold the baby and hold the young person tightly. The mother holds the child and sits on the endoscopy chair, allowing the child to lean back against the mother. The sick mother's left hand holds the child's hand tightly, and at the same time uses her legs to lock the child's leg.
3.3 For infants Otolaryngoscopy is effective, but the ENT organs of newborns are still very immature. Therefore, only perform ENT endoscopy for infants when absolutely necessary and need to be performed at reputable medical facilities, with full supporting equipment and able to handle situations. suddenly happened.
During otolaryngoscopy for children, if there are any problems, parents should be very calm and cooperate with the doctor to be able to give emergency treatment in time.
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