{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:43:25Z","timestamp":1740167005238,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T00:00:00Z","timestamp":1628467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003All patients with a new head and neck squamous cell carcinoma (HNSCC) undergo diagnostic panendoscopy as part of the screening for synchronous second primary tumors. It includes a pharyngolaryngoscopy (PLS), a tracheobronchoscopy and esophagoscopy, and a stomatoscopy. Rigid techniques are risky, with long learning curves.<\/jats:p><jats:p>\n          Objective\u2003We propose a precise description of the panendoscopy protocol. We include an optimization of the PLS technique that completes the flexible esophagoscopy when rigid esophagoscopy isn't performed.<\/jats:p><jats:p>\n          Methods\u2003The present retrospective observational study includes 122 consecutive patients with a new primary HNSCC who underwent traditional panendoscopy and the new PLS technique between January 2014 and December 2016. A two-step procedure using a Macintosh laryngoscope and a 30\u00b0 telescope first exposes panoramically the larynx, the upper trachea, and the oropharynx; then, in a second step, the hypopharynx is exposed down to the upper esophageal sphincter. Broncho-esophagoscopy is performed with a rigid and flexible scope.<\/jats:p><jats:p>\n          Results\u2003In total, 6 (5%) patients presented synchronous tumors (3 in the esophagus, 2 in the oral cavity, and 1 in the larynx 1). Rigid endoscopy was complicated by 2 (1,6%) dental lesions, and had to be completed with a flexible scope in 38 (33%) cases for exposition reasons. The two-step PLS offered a wide-angle view of the larynx, upper trachea, and oro- and hypopharynx down to the sphincter of the upper esophagus. The procedure was easy, reliable, safe, repeatable, and effectively completed the flexible endoscopies.<\/jats:p><jats:p>\n          Conclusion\u2003Rigid esophagoscopy remains a difficult procedure. Two-step PLS combined with flexible broncho-esophagoscopy offers good optical control.<\/jats:p>","DOI":"10.1055\/s-0041-1726049","type":"journal-article","created":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:42:47Z","timestamp":1628556167000},"page":"e125-e131","source":"Crossref","is-referenced-by-count":0,"title":["Oncologic Panendoscopy: Description of an Optimized Procedure Based on Our Experience"],"prefix":"10.1055","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2885-5188","authenticated-orcid":false,"given":"Laurence","family":"Pincet","sequence":"additional","affiliation":[{"name":"Department Department of Head and Neck Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9cile de","family":"Sandre","sequence":"additional","affiliation":[{"name":"Department Department of Head and Neck Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian J. W.","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, H\u00f4pital Cantonal Fribourgeois, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0337-6930","authenticated-orcid":false,"given":"Victor","family":"Colin","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery, H\u00f4pital Cantonal Fribourgeois, Fribourg, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1001\/jamaoto.2015.2815","article-title":"Rigid Esophagoscopy for Head and Neck Cancer Staging and the Incidence of Synchronous Esophageal Malignant Neoplasms","volume":"142","author":"P O McGarey Jr","year":"2016","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"S 01","key":"ref2","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1017\/S0022215114002989","article-title":"A role for panendoscopy? 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Part 2: Remote extension assessment and exploration for secondary synchronous locations outside of the upper aerodigestive tract. 2012 SFORL guidelines","volume":"130","author":"E de Mon\u00e8s","year":"2013","journal-title":"Eur Ann Otorhinolaryngol Head Neck Dis"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1177\/000348949210100201","article-title":"Meta-analysis of second malignant tumors in head and neck cancer: the case for an endoscopic screening protocol","volume":"101","author":"B H Haughey","year":"1992","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"08","key":"ref14","doi-asserted-by":"crossref","first-page":"e72097","DOI":"10.1371\/journal.pone.0072097","article-title":"Routine endoscopy for esophageal cancer is suggestive for patients with oral, oropharyngeal and hypopharyngeal cancer","volume":"8","author":"S-H Hung","year":"2013","journal-title":"PLoS One"},{"issue":"10","key":"ref15","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1093\/jjco\/hyq068","article-title":"Significance of endoscopic screening and endoscopic resection for esophageal cancer in patients with hypopharyngeal cancer","volume":"40","author":"M Morimoto","year":"2010","journal-title":"Jpn J Clin Oncol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1017\/S002221511600044X","article-title":"Tumour assessment and staging: United Kingdom National Multidisciplinary Guidelines","volume":"130","author":"N Roland","year":"2016","journal-title":"J Laryngol Otol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"S170","DOI":"10.1017\/S0022215116000591","article-title":"Investigation and management of the unknown primary with metastatic neck disease: United Kingdom National Multidisciplinary Guidelines","volume":"130","author":"K Mackenzie","year":"2016","journal-title":"J Laryngol Otol"},{"issue":"07","key":"ref18","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1055\/s-2006-925255","article-title":"Endoscopic screening for esophageal squamous-cell carcinoma in high-risk patients: a prospective study conducted in 62 French endoscopy centers","volume":"38","author":"J Dubuc","year":"2006","journal-title":"Endoscopy"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1726049.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T02:06:49Z","timestamp":1643162809000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1726049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,9]]},"references-count":17,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,1,25]]},"published-print":{"date-parts":[[2022,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1726049","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"type":"print","value":"1809-9777"},{"type":"electronic","value":"1809-4864"}],"subject":[],"published":{"date-parts":[[2021,8,9]]}}}