Prospective multi‐institutional transnasal esophagoscopy: Predictors of a change in management

Abstract

2b. Laryngoscope, 126:2667-2671, 2016.

Office‐based esophageal dilation in head and neck cancer: Safety, feasibility, and cost analysis

“…In patients with a history of HNCA presenting with dysphagia, transnasal esophagoscopy (TNE) is a validated tool for evaluation and diagnosis of esophageal pathology . Office‐based TNE is a safe, effective, and well‐tolerated procedure that can be performed using only topical anesthesia .…”

“…3 In patients with a history of HNCA presenting with dysphagia, transnasal esophagoscopy (TNE) is a validated tool for evaluation and diagnosis of esophageal pathology. [4][5][6] Office-based TNE is a safe, effective, and well-tolerated procedure that can be performed using only topical anesthesia. 4,5,7 A multi-institutional prospective TNE study found that in patients with a history of HNCA with dysphagia, TNE led to a change in management.…”

“…4,5,7 A multi-institutional prospective TNE study found that in patients with a history of HNCA with dysphagia, TNE led to a change in management. 6 Furthermore, TNE may provide particular benefit to the HNCA population compared to conventional esophagoscopy due to its ease of use and ability to negate risks of general anesthesia in patients with posttreatment functional or anatomical abnormalities. 8 The role of TNE in HNCA patients is evolving to allow for its application to therapeutic procedures.…”

“…Office‐based TNE is a safe, effective, and well‐tolerated procedure that can be performed using only topical anesthesia . A multi‐institutional prospective TNE study found that in patients with a history of HNCA with dysphagia, TNE led to a change in management . Furthermore, TNE may provide particular benefit to the HNCA population compared to conventional esophagoscopy due to its ease of use and ability to negate risks of general anesthesia in patients with posttreatment functional or anatomical abnormalities …”

Cost analysis of office-based transnasal esophagoscopy

“…Furthermore, in the diagnostic workup of hypopharyngeal carcinoma, inspection of the proximal esophagus is usually performed under general anesthesia to determine the distal border of the tumor. With the introduction of TNE, examination of the esophagus for these indications can be performed in the outpatient clinic under topical anesthesia and additional indications are likely to be developed and established in the future [ 30 , 31 ].…”