Related Experiment Video
Updated: Mar 30, 2026
04:47
Author Spotlight: Learning Systematic Bronchoscopy in a Simulation-Base Setting
Published on: June 23, 2023
3.9K
Bronchoscopy in panendoscopy: review and assessment
1Division of Laryngology, Department of Otolaryngology/Head and Neck Surgery,Stanford University School of Medicine,California,USA.
The Journal of Laryngology and Otology
|November 3, 2015
Summary
Bronchoscopy is a safe procedure for head and neck cancer patients, but it rarely identifies new primary tumors. Its routine use should be reconsidered due to limited clinical benefit and associated costs.
Area of Science:
- Otolaryngology
- Pulmonology
- Oncology
Background:
- Head and neck cancer diagnosis often involves panendoscopy.
- Bronchoscopy is frequently included in panendoscopy for staging and detecting synchronous primaries.
- The diagnostic yield of bronchoscopy in this specific context requires evaluation.
Purpose of the Study:
- To assess the utility of bronchoscopy in identifying synchronous primary tumors in head and neck cancer patients.
- To evaluate the impact of bronchoscopy on clinical management decisions.
- To determine the safety and complication rate of bronchoscopy in this patient population.
Main Methods:
- Retrospective case series with chart review.
- Inclusion criteria: patients undergoing bronchoscopy as part of panendoscopy for head and neck cancer (2008-2013).
- Data extracted: operative findings, pathology, complications, and length of stay.
Main Results:
- 168 patients included from 404 reviewed charts.
- No synchronous primary tumors were identified via bronchoscopy.
- Bronchoscopy altered clinical management in only one patient.
- The procedure was performed without complications.
Conclusions:
- Bronchoscopy is a safe and well-tolerated procedure in head and neck cancer patients.
- Its routine use offers minimal additional clinical information for detecting synchronous primaries.
- The decision to perform bronchoscopy should consider cost-effectiveness and individual patient factors.
Related Concept Videos
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
909
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
909
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
2.0K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
2.0K
01:26Endoscopic Studies II: Thoracocentesis
2.0K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
2.0K
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
814
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
814
01:26Endoscopic Procedures V: ERCP
5.7K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
5.7K
01:15Endotracheal Intubation I: Procedure
11.9K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
11.9K