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Peer-reviewedCC BYMethodsX

Indications, procedural standards, and training requirements for flexible nasolaryngoscopy in pulmonology - a Delphi study protocol.

  • Ajit Nair1,2,3
  • Philip G Bardin1,4
  • Paul Leong1,4
4 affiliations
  1. 1Monash Lung Sleep Allergy and Immunology, Monash Health, Clayton, Victoria, Australia.
  2. 2School of Clinical Sciences, Monash University, Clayton, Victoria, Australia.
  3. 3Department of Internal Medicine, Latrobe Regional Health, Traralgon, Victoria, Australia.
  4. 4Hudson Institute, Monash University, Melbourne, Australia.
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Abstract

Flexible nasolaryngoscopy (FNL) is a well-established, minimally invasive procedure for assessing the nasal passages, nasopharynx, and larynx. Its role in pulmonology is expanding, particularly for evaluating vocal cord dysfunction/inducible laryngeal obstruction, chronic cough, and other upper airway conditions relevant to the "united airways" model of care. However, no consensus-based guidance currently exists on the indications, procedural standards, or training requirements for FNL performed by pulmonologists. This protocol describes a modified two-round Delphi study that will survey an international, purposively sampled panel of pulmonologists and otolaryngologists via an online platform hosted by Monash University, using a five-point Likert scale and pre-specified consensus thresholds (≥70% agreement). Findings will be discussed in a structured expert roundtable to support interpretation and contextualization. • Establishes expert consensus on clinical indications and contraindications for FNL in pulmonology practice. • Develops consensus on procedural standards, curriculum, and competency requirements for FNL training in pulmonology. • Identifies priority areas for future research to support integration of FNL into pulmonology services.

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Cite

BibTeXRIS
BibTeX
@article{nair2026indications,
  title = {{Indications, procedural standards, and training requirements for flexible nasolaryngoscopy in pulmonology - a Delphi study protocol.}},
  author = {Ajit Nair and Philip G Bardin and Paul Leong},
  journal = {MethodsX},
  year = {2026},
  month = oct,
  doi = {10.1016/j.mex.2026.104191},
  url = {https://europepmc.org/article/MED/42898552},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Indications, procedural standards, and training requirements for flexible nasolaryngoscopy in pulmonology - a Delphi study protocol.
AU  - Ajit Nair
AU  - Philip G Bardin
AU  - Paul Leong
PY  - 2026
DA  - 2026/10/07
JO  - MethodsX
DO  - 10.1016/j.mex.2026.104191
UR  - https://europepmc.org/article/MED/42898552
AB  - Flexible nasolaryngoscopy (FNL) is a well-established, minimally invasive procedure for assessing the nasal passages, nasopharynx, and larynx. Its role in pulmonology is expanding, particularly for evaluating vocal cord dysfunction/inducible laryngeal obstruction, chronic cough, and other upper airway conditions relevant to the "united airways" model of care. However, no consensus-based guidance currently exists on the indications, procedural standards, or training requirements for FNL performed by pulmonologists. This protocol describes a modified two-round Delphi study that will survey an international, purposively sampled panel of pulmonologists and otolaryngologists via an online platform hosted by Monash University, using a five-point Likert scale and pre-specified consensus thresholds (≥70% agreement). Findings will be discussed in a structured expert roundtable to support interpretation and contextualization. • Establishes expert consensus on clinical indications and contraindications for FNL in pulmonology practice. • Develops consensus on procedural standards, curriculum, and competency requirements for FNL training in pulmonology. • Identifies priority areas for future research to support integration of FNL into pulmonology services.
SN  - 2215-0161
ER  -