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Bronchoscopy in panendoscopy: review and assessment

Published online by Cambridge University Press:  02 November 2015

A Shahangian  and
E J Damrose
A Shahangian
Affiliation:
Division of Laryngology, Department of Otolaryngology/Head and Neck Surgery, Stanford University School of Medicine, California, USA
E J Damrose*
Affiliation:
Division of Laryngology, Department of Otolaryngology/Head and Neck Surgery, Stanford University School of Medicine, California, USA
*
Address for correspondence: Dr Edward J Damrose, Department of Otolaryngology/ Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA Fax: +1 650 725 8502 E-mail: edamrose@stanford.edu
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Abstract

Objective:

To determine the utility of bronchoscopy to identify synchronous primaries in head and neck cancer patients.

Study design:

Case series with chart review.

Method:

The charts of all patients undergoing bronchoscopy between January 2008 and December 2013 were reviewed. Only those undergoing bronchoscopy as part of panendoscopy for head and neck cancer were included. Operative reports, pathology reports and discharge summaries were reviewed for operative findings, complications and length of hospital stay.

Results:

A total of 404 charts were reviewed and 168 were included in the study. No synchronous primaries were identified. Bronchoscopy changed clinical management in one patient. There were no complications from bronchoscopy.

Conclusion:

Bronchoscopy is a safe and well-tolerated procedure commonly performed in the investigation of head and neck cancer patients, but it adds little additional useful clinical information. Routine performance of bronchoscopy in this setting should be weighed against its added costs, and tailored to the individual patient.

Keywords

BronchoscopyLaryngoscopyEsophagoscopyNeoplasms, Unknown Primary
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 12 , December 2015 , pp. 1220 - 1223
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented at the 135th Annual Meeting of the American Laryngological Association, 14–15 May 2014, Las Vegas, Nevada, USA.

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