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Office-based Transnasal Oesophagoscopy: evaluating the safety, efficacy and application in head and neck cancer patients
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  • Ravneet Grewal,
  • Narun Tantichirasakul,
  • Benjamin Miller,
  • Natalie Watson,
  • Yakubu Karagama
Ravneet Grewal
King's College London GKT School of Medical Education

Corresponding Author:[email protected]

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Narun Tantichirasakul
Guy's King's College and Saint Thomas' Hospitals' Medical and Dental School of King's College London
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Benjamin Miller
Guy's and St Thomas' NHS Foundation Trust ENT H&N
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Natalie Watson
Guy's Hospital
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Yakubu Karagama
Guy's and St Thomas' NHS Foundation Trust
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Key Points • Transnasal Oesophagoscopy (TNO) is an approach to inspect the upper aerodigestive tract, especially in the head and neck cancer (HNCA) population that present with dysphagia. • Twenty-five (25) office-based TNO procedures were performed, with a same-day discharge rate of 96% (24/25) and no reported complications. • This case series is the first to compare preoperative and postoperative outcomes (EAT-10) following stricture dilatation using TNO in the UK. Our results show a statistically significant improvement in symptom severity (EAT-10 scores) (n=11, P=0.001). In the majority of these patients, strictures were due to post-radiation complications. Biopsy in 4/5 cases was sufficient for diagnosis/ruling out disease. Of these patients, 80% had a previous HNCA. • This study identifies the remit for a new ‘one-stop’ TNO service for suspected cancer referrals, of which a large proportion are patients with a previous HNCA. Surveillance, therapeutics and diagnostics can be achieved in a single visit. • Earlier staging or treatment may be achieved due to a fast turnover in clinic
11 May 2021Submitted to Clinical Otolaryngology
12 May 2021Submission Checks Completed
12 May 2021Assigned to Editor
17 May 2021Reviewer(s) Assigned
22 Jul 2021Review(s) Completed, Editorial Evaluation Pending
27 Jul 2021Editorial Decision: Revise Minor
09 Aug 20211st Revision Received
11 Aug 2021Submission Checks Completed
11 Aug 2021Assigned to Editor
16 Aug 2021Reviewer(s) Assigned
01 Sep 2021Review(s) Completed, Editorial Evaluation Pending
05 Sep 2021Editorial Decision: Accept
Jan 2022Published in Clinical Otolaryngology volume 47 issue 1 on pages 218-223. 10.1111/coa.13868