Fiberoptic endoscopy in the head and neck region

The potential use of fiberoptic endoscopy in the head and neck region was evaluated by the comparison with the findings we obtained from indirect, mirror endoscopy. Fiberoptic endoscopy confirmed our clinical staging and diagnosis in 39 percent, changed our diagnosis in 41 percent, and changed our clinical staging in 20 percent of this series of patients. These findings indicate that fiberoptic endoscopy is a valuable aid for clinical staging; in some instances it may be used in preference to indirect, mirror examination; frequently, it may enable one to avoid a direct laryngoscopy. The procedure is safe, well tolerated, and may be performed on an outpatient basis. With this instrument, routine examination of the head and neck in suitable patients may lead to improved clinical evaluations.