At ENTACC, our patients are our priority.

Transnasal Esophagoscopy or TNE

An endoscope is an instrument used to examine an interior part of the body. Endoscopes may be either rigid or flexible, and they have alight at the end that illuminates the area for visibility. During transnasal esophagoscopy (TNE), a thin flexible endoscope is inserted through the nose and down the throat in order to view the vocal folds, larynx (voice box), esophagus, or other structures of the throat. Super thin transnasal endoscopes are superior in several ways, including being better tolerated by patients, and being more cost effective. In addition, because intravenous sedative medication is not required before TNE, the risk of complications is lower than with conventional endoscopy. Transnasal Esophagoscopy is used to examine patients who may have amass in the neck, throat, airway or esophagus. Patients with sleep apnea may undergo TNE to check for obstruction in the throat.

Patients suffering from gastroesophageal reflux disease (GERD) may also benefit from TNE as it can reveal manifestations of GERD in the esophagus. For patients with GERD and asthma, challenging symptoms such as chronic cough can be better understood through TNE. The procedure can allow physicians to view the effects of GERD in the throat, effects that are far more common than previously realized, and that may increase patients’ risks for cancer of the larynx and hypopharynx.

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”