Transnasal Esophagoscopy in Dysphagia Evaluation and Management - Dinesh K. Chhetri, MD - UCLA

Explore transnasal esophagoscopy (TNE) in dysphagia evaluation and management through this comprehensive 44-minute lecture by Dr. Dinesh K. Chhetri, vice chair of UCLA's Department of Head and Neck Surgery and director of the UCLA Swallowing Program. Delve into TNE technology and techniques, swallowing physiology, and assessment methods. Understand the role of in-office TNE in diagnosing and treating swallowing disorders. Cover topics including esophageal anatomy, peristalsis, TNE advantages, indications for use, and various esophageal pathologies. Learn about nasal anesthesia, proper scope handling, and specific dysphagia cases such as post-radiation therapy, post-chemoradiation therapy, and cricopharyngeal achalasia.

Intro
Dysphagia Evaluation
Utility of the working channel
Esophagus Tube: Anatomy
Esophageal Anatomy Four Natural Constrictions
UES - CP muscle is inferior 1/3
Hyoid Elevation
Esophagus - Primary Peristalsis
Esophagus - Secondary Peristalsis
Esophagus: LES Anatomy
Esophagus - Summary
TNE Advantages
Indications: Dysphagia
Chronic Cough/Throat Clearing
TNE - Technique
Nasal Anesthesia
How to Hold the TNE Scope
TNE: Esophageal Pathology
Esophageal Dysphagia
Post XRT Dysphagia
Post CRT Dysphagia
Esophageal Diverticula
Dysphagia after ACDF
Dysphagia and Cough
Mucus in Throat and Suprasternal Burning
Dysphagia and Reflux
Cricopharyngeal Achalasia