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Clinical Diagnosis of Esophageal Dysphagia Using Transnasal Esophagoscopy: A Case Report.
Indian J Otolaryngol Head Neck Surg
December 2024
Department of Speech-Language Sciences, All India Institute of Speech & Hearing, Mysore, India.
The aim of the present study was three folds; (i) to correlate clinical case history with objective findings of a client presented with sternal discomfort along with odynophagia; (ii) to evaluate the cause for retrosternal discomfort using Functional Esophagoscopy (FE); and (iii) to reaffirm the Cook's (2008) algorithm for clinical diagnosis of esophageal dysphagia in single sitting using Transnasal Esophagoscopy (TNE). A 72 years old male (named 'G') visited a tertiary health care hospital with a complaint of imbalance for past 2 months. Also, had a complaint of pain while swallowing for the past 15 days along with left arm weakness (for past 2 days) and got admitted for treatment.
View Article and Find Full Text PDFChest Tube Placement of Secondary Tracheoesophageal Voice Prosthesis: Overcoming Challenging Anatomy in the Laryngectomy Patient.
J Pers Med
September 2024
Department of Otolaryngology, School of Medicine, Emory University, Atlanta, GA 30322, USA.
Article Synopsis
- - Total laryngectomy is performed to treat advanced larynx cancer, and patients often require rehabilitation for communication, typically using a tracheoesophageal voice prosthesis (TEP) after treatment completion.
- - Traditional TEP placement techniques can be challenging for patients with neck issues like kyphosis or trismus, but a new method using a chest tube and flexible scope has proven successful for these patients.
- - The described technique has shown no failed placements or complications, making it suitable for those with difficult anatomical conditions while minimizing neck extension during the procedure.
Article Synopsis
- The study aimed to evaluate the effectiveness of botulinum toxin A injections for managing pharyngoesophageal dysfunction in patients who have undergone laryngectomy, focusing on voice and swallowing restoration.
- A retrospective review of 43 patients was conducted, revealing that most were male and had undergone prior surgical procedures, with a majority experiencing positive improvements in both swallowing and speaking skills post-treatment.
- The results suggest that botulinum toxin A injections are safe and effective, highlighting the need for standardized treatment protocols at healthcare institutions.
Efficacy and Safety of In-Office Transnasal Oesophagoscopy and Balloon Dilatation for Patients Presenting With High Dysphagia: A 6-Year Retrospective Analysis.
Clin Otolaryngol
January 2025
Department of Otolaryngology-Head and Neck Surgery, University Hospitals Dorset NHS Foundation Trust, Poole, UK.
Transnasal Endoscopy Acquires Esophageal Biopsies Adequate for Comprehensive Pathology Evaluation in Patients With Eosinophilic Esophagitis.
Pediatr Dev Pathol
August 2024
Division of Pathology and Laboratory Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Background: Transnasal endoscopy (TNE) does not require general anesthesia, an attractive characteristic for monitoring eosinophilic esophagitis (EoE). We evaluated the adequacy of TNE-obtained esophageal biopsies using the EoE Histology Scoring System (EoEHSS).
Methods: The Cincinnati Center for Eosinophilic Disorders database was searched for esophageal biopsies obtained by the same endoscopist, using either TNE or conventional endoscopy (CE).
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