The Role of Transnasal Esophagoscopy in Head and Neck Oncology

Abstract

Transnasal esophagoscopy gives the surgeon the ability to perform a remarkable variety of procedures in the outpatient setting without sedation. It may obviate the need for routine panendoscopy in head and neck cancer patients.

Application of unsedated transnasal esophagogastroduodenoscopy in the diagnosis of hypopharyngeal cancer

“…[5][6][7]9,10 Only a limited number of studies have limited experience about the role of unsedated transnasal esophagoscopy or EGD in head and neck oncology. 6,9,11,12 In this article, we provide a detailed report on the efficacy and safety of unsedated transnasal EGD in the diagnosis of hypopharyngeal cancer and screening of simultaneous esophageal lesions.…”

The role of flexible autofluorescence laryngoscopy in the diagnosis of malignant lesions of the larynx

“…Hyperaemia or haemorrhage on laryngeal mucosa may significantly reduce the intensity of autofluorescence. Bacterial plaques and necrotic tissue can lead to a defect of autofluorescence that leads to false positive findings [16].…”

Office Assessment of Patient with Head and Neck Cancer

“…Therefore, lesions presenting in the region of the inferior turbinate, middle meatus and the lower half of the nasal septum can be easily visualized by office endoscopy. 2 Rigid endoscopic evaluation with telescopes generally requires adequate topical anesthesia as well as shrinkage of the mucosal surfaces. A set of 0°, 30°, 70° and 90° telescopes should be available for appropriate evaluation of the interior of the nasal cavity.…”