Routine use of Office Endoscopy in Otolaryngology

A skilled endoscopist using a flexible fiberoptic nasopharyngolaryngoscope can complete a thorough examination of the upper aerodigestive tract in less time than it takes to heat up a laryngeal mirror. The examination is accomplished with only minimal discomfort for the majority of patients. Consistently clear photographs may be made of the physical findings. The yield, in terms of disease demonstrated and documented, well justifies the routine use of the flexible fiberoptic nasopharyngolaryngoscope on virtually every patient seen for otolaryngologic evaluation. I shall present sixteen examples of pathosis of the upper aerodigestive tract that were overlooked by the traditional means of otolaryngologic examination. All were discovered by the “routine” use of flexible fiberoptic endoscopy. Seven malignant conditions are included.