PT  - JOURNAL ARTICLE
AU  - Marianne Tinkler
AU  - Christopher Foxton
AU  - Justin Pepperell
AU  - Edward Chisholm
AU  - Stuart Wells
TI  - Bronchoscopic local anaesthetic vocal cord biopsy: Our experience
DP  - 2013 Sep 01
TA  - European Respiratory Journal
PG  - P4189
VI  - 42
IP  - Suppl 57
4099  - http://erj.ersjournals.com/content/42/Suppl_57/P4189.short
4100  - http://erj.ersjournals.com/content/42/Suppl_57/P4189.full
SO  - Eur Respir J2013 Sep 01; 42
AB  - Vocal cord(VC) lesions can warrant biopsy with general anaesthesia(GA) rigid laryngoscopy. GA is not suitable for all patients. Biopsy can be performed with trans-nasal flexible laryngo-oesophagoscopy(TNFLO) however availability is limited in UKWe report our experience of 4 patients not suitable for GA with hoarseness & VC abnormalityExperienced respiratory physician performed bronchoscopy in usual fashion with light sedation & local anaesthesia.5.5mm video bronchoscope, (Pentax EB-1570k,USA) is inserted through nasal or oral route. Airways are examined to ensure no abnormality. Lesion identified & 1.9mm biopsy forceps inserted via working channel. Biopsies are taken from the lesion edge, including a piece of adjacent healthy tissue, avoiding medial cord edge. 48 hour voice rest advised. No complications resultedView this table:Cases of bronchoscopic VC biopsyBronchoscopic VC biopsy is an alternative for those not suitable for GA where TNFLO unavailable.