By Tim Price, Paul Montgomery, Martin Birchall, Patrick Gullane
Contemporary advances in versatile endoscopy have ledto the advance of the Trans-Nasal FlexibleLaryngo-Esophagoscope (TNLE) which makes visualisation,identification, biopsy and therapy of stipulations of theupper aero-digestive tract more uncomplicated and attainable underlocal anaesthesia in an outpatient setting.A distinctive and important source for oncologists, otolaryngologists,gastroenterologists, respiration physicians, and ENT surgeons,Diagnostic Atlas of Tumors of the higher Aero-Digestive Tractbrings the reader up to date with the right kind identificationand analysis for malignant affliction of the larynx, phary Read more...
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Extra info for A diagnostic atlas of tumors of the upper aero-digestive tract: a transnasal video endoscopic approach
Trachea, soft tissues of neck including deep/extrinsic muscle of tongue (genioglossus, hyoglossus, palatoglossus, and styloglossus), strap muscles, thyroid, and esophagus T4b: Tumor invades prevertebral space or mediastinal structures, or encases the carotid artery. MANAGEMENT An appropriate treatment protocol should be selected for each patient, given the anatomic problem, performance status, and clinical expertise of the treatment team involved. T1: External-beam radiation therapy alone or supraglottic laryngectomy.
It is essential to have good lighting and to use suitable instruments in order to retract tissues adequately. The floor of the mouth, buccal and lingual sulci, and retromolar areas are best examined using a mouth mirror with a short handle. A gauze square is a useful adjunct as it helps in wiping debri off the mucosal surfaces and may reveal underlying erythema or contact bleeding. “AT-RISK SITES” Approximately 75% of oral squamous cell carcinomas (SCCs) are located in the tongue, floor of mouth, and the retromolar trigone.
SCCs in this area are usually moderately to poorly differentiated, although undifferentiated and nonkeratinizing variants occur with some regularity. 2 Left tonsillar tumor viewed from the postnasal space. tonsil tumors “trauma” will give false-positive results. 4, the tonsils are both “hot,” and a bilateral synchronous SCC was uncovered. CT scanning of the neck is vital in assessing the extent of the primary tumor and nodal metastasis to the neck. MRI is superior in assessing the tumor size and soft tissue invasion in tumors of the oropharynx (tonsil and base of tongue) and should be performed where available Figs.
A diagnostic atlas of tumors of the upper aero-digestive tract: a transnasal video endoscopic approach by Tim Price, Paul Montgomery, Martin Birchall, Patrick Gullane