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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
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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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Abstract

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

Peer review status:IN REVISION

11 May 2021Submitted to Clinical Otolaryngology
12 May 2021Assigned to Editor
12 May 2021Submission Checks Completed
17 May 2021Reviewer(s) Assigned
22 Jul 2021Review(s) Completed, Editorial Evaluation Pending
27 Jul 2021Editorial Decision: Revise Minor