How we do it: The role of trans-nasal flexible laryngo-oesophagoscopy (TNFLO) in ENT: one year's experience in a head and neck orientated practice in the UK.
KEYPOINTS: Transnasal flexible laryngo-oesophagoscopy (TNFLO) is a safe and well-tolerated procedure that may be performed in a procedure room in the outpatient or day-case/main theatre setting. It requires a local anaesthetic and no sedation. It may be used to histologically diagnose or exclude pathology from the nose to the gastro-oesophageal junction. It provides a "one stop" diagnosis service, reducing diagnostic delays, the need for endoscopy under general anaesthesia, barium swallows and follow-up outpatient appointments. Therapeutic procedures such as vocal cord medialization, endolaryngeal laser surgery, insertion of speech prostheses and foreign body removal may be performed without general anaesthesia.
Price
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Norfolk and Norwich University Hospital, Norwich, Norfolk, UK. timothy.price@nnuh.nhs.uk
Sharma
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Snelling
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Bennett
A M D
AM
Qayyum
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A
Bradnam
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Montgomery
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D000553:Ambulatory Care; D000779:Anesthetics, Local / Q000008:administration & dosage; D003680:Deglutition Disorders / Q000175:diagnosis; D004935:Esophageal Diseases / Q000175:diagnosis; D020701:Esophagoscopes; D004945:Esophagoscopy / Q000379:methods*; D004947:Esophagus; D005336:Fiber Optic Technology / Q000295:instrumentation; D005547:Foreign Bodies / Q000175:diagnosis; D006258:Head and Neck Neoplasms / Q000175:diagnosis; D006801:Humans; D020704:Laryngoscopes; D007828:Laryngoscopy / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis; D009666:Nose; D010608:Pharyngeal Diseases / Q000175:diagnosis; D018583:Pliability; D011187:Posture; D011446:Prospective Studies; D020127:Recovery of Function; D014826:Vocal Cord Paralysis / Q000175:diagnosis
D000779:Anesthetics, Local