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The Role of Transnasal Esophagoscopy in Head and Neck Oncology
Author(s) -
Postma Gregory N.,
Bach Kevin K.,
Belafsky Peter C.,
Koufman James A.
Publication year - 2002
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 - 10.1097/00005537-200212000-00020
Subject(s) - medicine , head and neck cancer , head and neck , surgery , sedation , radiology , cancer , biopsy , general surgery , radiation therapy
Abstract Objectives/Hypothesis To review the current role of transnasal esophagoscopy (TNE) in all aspects of head and neck cancer patient treatment. Study Design A retrospective database and chart review. Methods A retrospective review of head and neck cancer patients undergoing TNE for a variety of diagnostic and therapeutic indications. Results In a series of 17 patients with presumed head and neck malignancies, TNE provided 100% accuracy in biopsy results and staging of the tumor when compared with standard panendoscopy. The utility of TNE in other areas of head and neck cancer management, such as stricture dilation and secondary tracheoesophageal puncture, is demonstrated. This preliminary report strongly suggests that TNE may play a vital role in the management of head and neck oncology patients. Conclusions 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.