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Normal transnasal esophagoscopy. - Free Online Library

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New diagnostic technology has become available that allows otolaryngologists to perform in-office transnasal esophagoscopy esophagoscopy /esoph·a·gos·co·py/ (e-sof?ah-gos´ko-pe) endoscopic examination of the esophagus.

e·soph·a·gos·co·py (-s
 (TNE) without the need for intravenous or oral anesthesia or analgesia
1. absence of sensibility to pain.
2. the relief of pain without loss of consciousness.

continuous epidural analgesia  continuous injection of an anesthetic solution into the sacral and lumbar plexuses within the epidural space to relieve the pain of childbirth; also used in general surgery to block the pain pathways below the navel.
. The new esophagoscopes e·soph·a·go·scope (-sf-g are narrow enough (5.1 mm) to pass through the nose, and they provide essentially the same patient safety and comfort levels as do transnasal fiberoptic laryngoscopes la·ryngo·scopic (-skp. In addition, these esophagoscopes can be used to perform air insufflation
1. the act of blowing a powder, vapor, or gas into a body cavity.
2. finely powdered or liquid drugs carried into the respiratory passages by such devices as aerosols.

perirenal insufflation  injection of air around the kidney for radiographic examination of the adrenal glands.
 and obtain biopsy specimens.

TNE is performed while the patient sits upright in the office chair. The patient is first administered topical anesthesia and a topical decongestant
1. tending to reduce congestion or swelling.
2. an agent that so acts.


de·con·ges·tant (dk
 (figure). The nasal cavity is sprayed with 1:1 oxymetazoline 0.05% and lidocaine 4%. The patient is also given 2 benzonatate">benzonatate benzonatate /ben·zo·na·tate/ (ben-zo´nah-tat) an antitussive that reduces the cough reflex by anesthetizing the stretch receptors in the respiratory passages, lungs, and pleura.

ben·zo·na·tate (b
 perles and instructed to keep them in the back of the oropharynx until they completely dissolve. Next, the otolaryngologist administers 2 sprays of 20% benzocaine benzocaine /ben·zo·caine/ (-kan) a local anesthetic applied topically to the skin and mucous membranes; also used to suppress the gag reflex in various procedures.

ben·zo·caine (bn
 to the oropharynx. The endoscope is also lubricated with 2% viscous lidocaine.

The otolaryngologist can then pass the scope through the nasal cavity and visualize the entire upper aerodigestive tract, from the nasal vestibule to the gastroesophageal
1. pertaining to the stomach and esophagus.
2. proceeding from the stomach to the esophagus.


gas·tro·e·soph·a·ge·al (gstr
 junction (figure). TNE is particularly useful for examining patients who have reflux disease, swallowing disorders, strictures, and other esophageal pathologies.