Role of Narrow Band Imaging in Laryngeal Lesions: A Prospective Study from Southern India.

Autor: Sargunaraj JJE; Department of ENT, Christian Medical College, Vellore, Tamil Nadu 632004 India., Mathews SS; Department of ENT, Christian Medical College, Vellore, Tamil Nadu 632004 India., Paul RR; Department of ENT, Christian Medical College, Vellore, Tamil Nadu 632004 India., Michael RC; Department of Head and Neck Surgery, Christian Medical College, Vellore, 632004 India., Thomas M; Department of General Pathology, Christian Medical College, Vellore, 632004 India., Gowri M; Department of Biostatistics, Christian Medical College, Vellore, 632004 India., Albert RRA; Department of ENT, Christian Medical College, Vellore, Tamil Nadu 632004 India.
Jazyk: angličtina
Zdroj: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2022 Dec; Vol. 74 (Suppl 3), pp. 5127-5133. Date of Electronic Publication: 2021 Nov 02.
DOI: 10.1007/s12070-021-02945-7
Abstrakt: To assess the utility of Narrow Band Imaging (NBI) as a diagnostic tool in evaluating laryngeal pathology in patients presenting with hoarseness. Study design: Prospective cross sectional diagnostic study. Methods: 200 patients with voice change were recruited and laryngeal findings documented with high definition flexible endoscopy with both white light and narrow band light and the representative still images recorded for analysis. The NBI intraepithelial papillary capillary loop (IPCL) patterns was compared with the histopathology report. Of the 200 patients evaluated, 84 lesions were biopsied which included both benign and malignant lesions. The sensitivity obtained was 73.3% [54.1-87.7% with 95% CI] and the specificity was 87% [75.1-94.6% with 95% CI] for detecting malignant lesions. NBI can be considered as a useful diagnostic tool in evaluating laryngeal pathology and can be used to detect early premalignant and malignant lesions.
Competing Interests: Conflict of interestThe authors have no conflict of interest to disclose in this work.
(© Association of Otolaryngologists of India 2021.)
Databáze: MEDLINE
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