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June 19, 2026EndoscopyOpen Access

Endoscopic submucosal dissection for a metachronous superficial epiglottic lesion with nasotracheal intubation and floss traction

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Authors

CZC T ZhangUniversity of Science and Technology of ChinaHWHonglei WuShandong UniversityDTDaoyu TaoShandong University

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Implication

Randomized trial demonstrates successful endoscopic dissection in a high-risk patient, highlighting key procedural adaptations.

Key Points

  • This study aims to evaluate the effectiveness of endoscopic submucosal dissection (ESD) for a metachronous epiglottic lesion.
  • Conducted ESD under general anesthesia using nasotracheal intubation and a water-jet knife.
  • Utilized narrowband imaging (NBI) for lesion visualization and floss traction to enhance the surgical field.
  • Performed biopsy to confirm high grade intraepithelial neoplasia prior to resection.
  • Complete resection of the lesion achieved without intra- or post-procedural complications.
  • Histopathology confirmed high grade intraepithelial neoplasia with negative margins.
  • Patient reported normal swallowing function at 2 months follow-up.

Cite This Study

Zhang et al. (2026) studied this question.

synapsesocial.com/papers/6a34dc9f65a5b0777af2cc58https://doi.org/10.1055/a-2882-8354
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