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Transnasal Esophagoscopy (TNE) in the Staging of Head and Neck Cancers: Feasibility and Impact in a Public Hospital Setting
Author(s) -
Peña Sarah,
Zuzukin Vladimir,
Beahm D. David,
Nuss Dan W.,
Walvekar Rohan R.
Publication year - 2010
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21230
Subject(s) - otorhinolaryngology , medicine , head and neck surgery , head and neck , general surgery , surgery
Head and neck cancer (HNC) staging in the clinic is traditionally limited to a comprehensive head and neck examination by the clinician and an evaluation of the upper aerodigestive tract with a flexible laryngoscope or using indirect laryngoscopy. Cancer staging is often completed in the operating room by performing endoscopic evaluation of the entire esophagus and tracheobronchial tree and appropriate imaging. This is important since 15-20% of patients with HNC have synchronous second primary cancers in the aerodigestive tract. In-office transnasal esophagoscopy (TNE) is a relatively new tool that is now available to the head and neck surgeon that has been validated to provide an adequate assessment of the esophagus and tracheobronchial tree. Transnasal Esophagoscopy (TNE) in the Staging of Head and Neck Cancers: Feasibility and Impact in a Public Hospital Setting