ABSTRACT
Clinic-based procedures and laryngology is a perfect match, and the average laryngologist’s practice involves a significant amount of in-clinic work. The transnasal oesophagoscope is arguably the single most important tool to support in-clinic procedures. A video monitor is essential to allow adequate visualisation and freedom of movement for in-clinic procedures. Patients scheduled for some in-clinic procedures do not have any pre-procedure dietary restrictions. Patients who balk or react poorly to the simple laryngoscopy are unlikely to cooperate successfully with a more involved in-clinic procedure, especially since most of them also require a larger diameter scope. A major change in otolaryngological practice over the last decade is the refinement of in-clinic unsedated oesophagoscopy. Absolute contraindications are primarily anatomical or patient-related inability to passage a flexible endoscope through the nasal cavity. The in-clinic use of lasers remains one of the most useful tools in the laryngologist’s armamentarium.
