Monday, June 26, 2017

Empty nose syndrome

56 year old female patient with long term obstruction and crusting after functional endoscopic sinus surgery and turbinectomy procedure. A rigid nasal endoscopy was performed using 4mm 0 degree endoscope showing great crusting in the nasal mucosa surface. Taken on iphone with endoscope-i device

Different lesions on laryngoscopy

46 year old female patient with 2 week history of dysphonia after intubation for a surgical procedure. An indirect laryngoscopy was performed with a 4mm 70 degree endoscope showing lesion on tip of the uvula, contact hematoma on anterior third (right vocal cord), oscillating irregular lesion on middle third (left vocal cord)

Friday, June 23, 2017

normal vocal cords

Normal vocal cords movement on slow motion. Taken with an iphone 6s and Endoscope-i device, with an 8mm 90 degree endoscope. iPhone´s slow motion camera only shows 120 frames per second being to slow in order to compare with an stroboscopy exam.

Abnormal right carotid

42 year old female patient presents in office for a laryngoscopy prior to total thyroidectomy. A pulsating bulge was noticed in the right aspect of the posterior oropharyngeal wall.

Contrast CT scan (coronal view)


Normal right eardrum in a 34 year old male patient.

Lateralization procedure

48 year old male patient with medial bilateral vocal cord paralysis following long stay in ICU due to a gastrointestinal bleeding. A right vocal cord lateralization procedure was chosen for this patient. The video shows a flexible laryngoscopy 3 weeks after the procedure was performed.

This picture was taken in the OR, after the procedure was complete.

Stage 3 Nasal polyposis

24 year old male patient (medical student) presented severe bilateral nasal congestion, obstruction and rhinorrhea. A rigid nasal endoscopy was performed with a 3.8mm 0 degree endoscope, showing multiple nasal polyps that derived from medial meatus and reached inferior aspect of both inferior turbinates. Images before and after medical treatment on patient with bilateral stage 3 nasal polyposis. After medical treatment, we could see polypoid degeneration on both medial turbinate´s mucosa, but no signs of nasal polyps; more importantly, patient showed no symptoms.
Article for this case published in spanish on page 27

Vocal cord paralysis

34 year old female patient that just underwent a thyroidectomy procedure in the OR, dysphonia and dyspnea after extubation. A flexible endoscopy was performed in the recovery room showing left vocal cord paralysis.

Fungal Rhinosinusitis

34 year old female patient with a 2 week history of left nasal congestion and obstruction managed with topical steroids. A rigid nasal endoscopy was performed using a 3.8mm 0 degree endoscope showing a thick white debris that completely occluded the left nasal cavity and seemed to derive from the left medial meatus. You may see in the video grooves in the secretion that were caused to the thick secretion using suction. A culture was taken proving fungal rhinosinusitis. After complete removal we noticed fungal destruction that caused a left maxillary antrostomy. The video on the right shows the patient after treatment.


Indirect laryngoscopy on a 8mm 90 degree endoscope showing normal vocal cords vibration movement during speech.

Benign lesion in the vocal cord

43 year old female patient (teacher) with 3-week history of dysphonia following a laringitis episode. An indirect laryngoscopy was performed with an 8mm 90 degree endoscope showing a lesion on the left vocal cord (posterior third) that resembles a vocal cord polyp.


36 year old male patient with blunt head trauma following car accident which required ICU management with mechanical ventilation. Otorraghia remnants were noticed by ICU personnel, and ENT specialist were called to evaluate the patient. An otoscopy was performed with a 3.8mm 0 degree endoscope which revealed purple discoloration of the tympanic membrane, blood remnants and teared skin in the external auditory conduct´s floor.


46 year old male patient with a 2-hour history of foreign body sensation  and odynophagia after eating fish. An indirect laryngoscopy was performed which revealed a fishbone in the supraglottic area, from epiglottis laryngeal surface to posterior hypopharyngeal wall. The fishbone was removed in office, using indirect laryngoscopy and a 90 degree clamp.
Taken with an iphone 5s with Endoscope-i, using 4mm 70 degree endoscope.
Fishbone after removal

Right tympanic membrane perforation

28 year old male patient with an 8 month old hearing loss following blunt trauma over the right ear; an otoscopy was performed showing 30%...