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