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Microlaryngoscopy

Local Anaesthetic

Discharge information: post Microlaryngoscopy under Local Anaesthetic (LA)

Dear Patient/Carer:

Please read this document carefully as it contains important information that complements the
instructions given by your MEG ENT Specialist during your recent surgical admission.

Medications:

Generally, no specific post procedural medications are prescribed.

  • Pain Management:
    • Most patients do not experience significant pain after this procedure.
    • However there may be some nose & throat discomfort which will improve over a few
      days.
    • Simple over the counter analgaesics should be adequate (e.g. Paracetamol,
      Panadeine®)
    • There may be some minor neck pain and bruising if an injection was performed which
      will improve over a few days.

Wound Care:

  • Strict Voice Rest:
    • The amount of voice rest depends on the nature of the procedure performed, but canrange from a few hours to 5 days.
    • Your MEG ENT specialist will advise you.
    • Strict voice rest for the prescribed amount of time implies:
      • No talking,
      • No whispering,
      • No singing
      • Minimising coughing & throat clearing
    • You will then gradually return to normal voice use, usually under the guidance of aspeech pathologist.
  • Neck injection site
    • Generally no specific care is required.
    • A small dressing may be placed over the puncture site and this can be removed after 48 hours.

Also read information about post Microlaryngoscopy under General Anaesthetic

Diet:

  • After a delay of approximately 1 and ½ hours, (for the local anaesthetic to wear off), you mayeat and drink as normal.
  • If your procedure involved the oesophagus (food pipe) then your doctor may instruct you to eata soft diet for a few days.
  • Ensure you maintain an adequate fluid intake to help with healing and recovery from theprocedure.

Return to Normal Activities:

  • As this procedure is performed under local anaesthetic, you are able to return to work the dayof the procedure if desired.
  • Your return to work will also be limited by the degree of voice rest prescribed (SEE ABOVE)
  • Your MEG ENT Specialist will advise you.

Attend your nearest Emergency Department or Call 000 if:

  • Breathing or swallowing becomes progressively difficult consult your doctor or contact thehospital immediately.
  • You develop any neck pain or neck swelling consult your doctor or contact the hospitalimmediately.

On your Post Operative Appointment:

  • Your speech pathologist +/- MEG ENT Specialist will listen to your voice and provide you withappropriate vocal exercises.
  • A repeat endoscopy / stroboscopy to look at the larynx may be performed.

We will confirm the time and date of your post-operative appointment soon. Do not hesitate to contact us if you require any further information regarding these instructions.

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