Journal of Otology & RhinologyISSN: 2324-8785

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Trans nasal Tracheoscope (TNT): A new Technique in Laryngeal Anesthesia in office base procedures.

Muayed M. Radi Alkhafaji

Hamad Medical Corporation, Qatar

: J Otol Rhinol


Laryngeal Office based procedures are well known to most of the Laryngologist for the past 10 years. Many of these procedures used to be performed only in the operating room and required general anesthesia. However, general anesthesia carries a higher risk of complications and requires more recovery time than office-based procedures. Doing the procedure at office is cost effective in compare to the procedures under general anesthesia with use of hospital resources in a wise way. Complications such as bleeding are very rare and patients can return to work after the procedure eats or drink one hour after the procedure. My Innovation is to use channeled endo-sheath which is designed for the FEESST (Flexible Endoscopic Evaluation of Swallowing with Sensory Testing) test to be used for anesthesia for the larynx. By this way we replace old method of Abraham cannula through the oral cavity or trans-tracheal injection, with more precise & under direct vision technique, where the lidocaine fall directly on the laryngeal inlet, which will give better anesthesia the fundamental part in all the Laryngeal Office based procedures.


Muayed M. Radi Alkhafaji received his Medical Degree from University of Al- Mustansiriyah Medical School, (1986) and Board Certificate in ORL-HNS from Baghdad University, Iraq (1996) respectively. He is an ENT-Otolaryngologist in Doha, Qatar and is affiliated with multiple hospitals in the area, including Hamad General Hospital, Ambulatory Care Center, Alkhor Hospital and Weill Cornell Medical School-Qatar.


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