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The role of transnasal esophagoscopy in head and neck oncology
Gregory N Postma1, Kevin K Bach, Peter C Belafsky
1Center for Voice Disorders of Wake Forest University, Department of Otolaryngology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1034, USA. gpostma@wfubmc.edu
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.
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