Dr. Viral Prajapati
Direct Laryngoscopy (DLB – Diagnostic & Biopsy)
This procedure can also be used for biopsy, where tissue samples are taken for further analysis.
About Direct Laryngoscopy (DLB)
The larynx, commonly known as the voice box, is essential for speech, breathing, and swallowing. Issues with the larynx, such as voice changes, pain, or difficulty swallowing, can significantly affect your quality of life. Direct Laryngoscopy (DLB) is a procedure that provides a detailed and direct view of the larynx and surrounding tissues, allowing ENT specialists to diagnose a wide range of conditions, from vocal cord nodules to tumors. This procedure can also be used for biopsy, where tissue samples are taken for further analysis. Direct Laryngoscopy allows the doctor to identify abnormalities, such as cancerous lesions, infections, and structural issues with precision, making it an essential tool in throat health care.
The larynx, commonly known as the voice box, is essential for speech, breathing, and swallowing. Issues with the larynx, such as voice changes, pain, or difficulty swallowing, can significantly affect your quality of life. Direct Laryngoscopy (DLB) is a procedure that provides a detailed and direct view of the larynx and surrounding tissues, allowing ENT specialists to diagnose a wide range of conditions, from vocal cord nodules to tumors. This procedure can also be used for biopsy, where tissue samples are taken for further analysis. Direct Laryngoscopy allows the doctor to identify abnormalities, such as cancerous lesions, infections, and structural issues with precision, making it an essential tool in throat health care.
What is Direct Laryngoscopy (DLB)?
Direct Laryngoscopy (DLB) is a diagnostic procedure used to directly visualize the larynx, vocal cords, and other structures of the throat.
During the procedure, a special rigid laryngoscope (a thin tube with a light and camera) is inserted into the mouth or through the nose, allowing the ENT specialist to view the throat and larynx in detail. This method provides a high-resolution, magnified image of the vocal cords, making it an essential tool for diagnosing voice and swallowing disorders.
In addition to being a diagnostic tool, Direct Laryngoscopy can also be used for performing biopsies, where tissue samples are taken from abnormal areas for testing and further evaluation.
Indications for Direct Laryngoscopy (DLB)
Direct Laryngoscopy is commonly recommended for patients experiencing any of the following symptoms or conditions:
A raspy or weak voice lasting more than two weeks.
Any noticeable changes in voice pitch, tone, or volume.
Chronic throat pain that is unexplained or unrelieved by usual treatments.
A palpable lump or swelling in the neck or throat area.
Shortness of breath or difficulty breathing, particularly when accompanied by throat discomfort.
Direct Laryngoscopy (DLB)
How the Procedure Works
Direct Laryngoscopy is a minimally invasive procedure that typically lasts between 15 to 30 minutes. Here’s a step-by-step overview of what to expect:
1. Before the Procedure
- Preparation: You will be asked to fast for a few hours before the procedure to ensure your stomach is empty.
- Anesthesia: The procedure is usually performed under local anesthesia to numb the throat. Sedation may also be used to help you relax and make you more comfortable.
2. During the Procedure
- Insertion of the Laryngoscope: The rigid laryngoscope is carefully inserted through your mouth or nose. It is equipped with a camera that sends real-time images of your vocal cords and larynx to a monitor.
- Examination: The ENT specialist will inspect the vocal cords, throat, and surrounding structures for abnormalities such as swelling, tumors, growths, or other issues.
- Biopsy (if necessary): If suspicious areas are found, the doctor may use specialized tools to take small tissue samples (biopsies) for further testing.
- Evaluation: The ENT specialist will evaluate the condition of the larynx, vocal cords, and surrounding areas, noting any abnormalities or conditions that may require further treatment.
3. After the Procedure
- Recovery: After the procedure, you may experience mild soreness or irritation in the throat, but this usually resolves within a few hours.
- Post-Operative Care: You will be advised to rest your voice for a day or two to allow the throat to heal.
- Follow-Up: Depending on the findings, a follow-up visit may be scheduled to discuss the results of the biopsy (if a sample was taken) and determine the next steps in treatment.

Accurate Diagnosis
Provides a direct, magnified view of the larynx.

Minimally Invasive
The procedure is minimally invasive, requiring no incisions and offering a quick recovery time.

Precise Biopsy
Allows for tissue samples to be taken directly from suspicious areas.

Early Detection
Early identification of serious conditions such as cancer can significantly improve treatment outcomes.
Recovery & Aftercare
Drink plenty of fluids to keep your throat moist and aid in recovery.
Avoid straining your voice for a couple of days after the procedure to prevent irritation.
Avoid straining your voice for a couple of days after the procedure to prevent irritation.
Why Consult
Dr. Viral Prajapati?
Choosing the right ENT specialist is essential for accurate diagnosis, safe treatment, and long-term ear, nose, and throat health. With a strong medical foundation, years of hands-on clinical experience, and a patient-centered approach, this ENT practice offers reliable care backed by proven expertise.
Experienced ENT Specialists
Our specialists have extensive experience in performing Direct Laryngoscopy for a wide range of voice box and throat issues.
Advanced Equipment
We use advanced laryngoscopes and high-definition imaging for clear, accurate visualization.
Minimally Invasive
The procedure is quick, safe, and minimally invasive, with a short recovery time.
Personalized Care
We offer compassionate, personalized care to ensure your comfort throughout the procedure.
Comprehensive Follow-Up
We provide thorough follow-up care to monitor healing and ensure any necessary treatments are provided.
Frequently Asked Questions
No, the procedure is done under local anesthesia, and you should not feel pain during the examination. Mild discomfort or soreness may occur afterward, but it resolves quickly.
The procedure typically takes about 15 to 30 minutes, depending on the complexity of the examination.
Yes, you will likely be asked to refrain from eating or drinking for several hours before the procedure.
A biopsy is performed only if the doctor finds abnormal growths or lesions in your larynx that need further analysis.
You can generally return to normal activities immediately after the procedure, but it’s best to rest your voice for a short time.