[Multiple laryngotracheal block for the biopsy of the base of the tongue and of the piriform sinuses during laryngoscopy].
Most laryngoscopies with diagnostic biopsies are usually carried out under general anaesthesia. Multiple laryngotracheal blocks were used in the patient reported; this 55 year old man presented with cachexia and a history of severe angina, myocardial infarction, arterial hypertension and chronic bronchitis. The different nerve blocks were carried out with a total of 2 mg.kg-1 lignocaine: the superior laryngeal nerve trunk, the internal laryngeal nerve, the trachea (by an intratracheal injection) and the tongue (using a lignocaine gel). The whole procedure was well tolerated by the patient. The advantages and disadvantages of this technique are discussed.
Mahiou
P
P
Département d'Anesthésiologie, Hôpital Raymond-Poincaré, Garches.
Ecoffey
C
C
D001706:Biopsy; D007013:Hypopharynx / Q000473:pathology; D007823:Laryngeal Nerves; D007828:Laryngoscopy; D008012:Lidocaine / Q000008:administration & dosage; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods*; D014059:Tongue / Q000473:pathology*
D008012:Lidocaine
Multibloc laryngotrachéal pour biopsie de la base de langue et des sinus piriformes lors d'une laryngoscopie.