Evaluation of vascular features of vocal cords proposed by the European Laryngological Society
| العنوان: | Evaluation of vascular features of vocal cords proposed by the European Laryngological Society |
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| المؤلفون: | Simone E. J. Eerenstein, Robert Šifrer, Derrek A. Heuveling, C. René Leemans, Rico N. P. M. Rinkel, Stijn van Weert, Jan Jaap Hendrickx, Elisabeth Bloemena, Johannes A. Rijken |
| المساهمون: | Ear, Nose and Throat, CCA - Cancer Treatment and Quality of Life, Otolaryngology / Head & Neck Surgery, CCA - Cancer Treatment and quality of life, Pathology, AGEM - Digestive immunity |
| المصدر: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS), 275(1), 147-151. Springer Verlag European Archives of Oto-Rhino-Laryngology, 275(1), 147-151. Springer Verlag European Archives of Oto-Rhino-Laryngology Šifrer, R, Rijken, J A, Leemans, C R, Eerenstein, S E J, van Weert, S, Hendrickx, J J, Bloemena, E, Heuveling, D A & Rinkel, R N P M 2018, ' Evaluation of vascular features of vocal cords proposed by the European Laryngological Society ', European Archives of Oto-Rhino-Laryngology, vol. 275, no. 1, pp. 147-151 . https://doi.org/10.1007/s00405-017-4791-5 |
| بيانات النشر: | Springer Science and Business Media LLC, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Perpendicular vascular patterns, Adult, Male, Glottis, medicine.medical_specialty, Adolescent, Vocal Cords, Malignancy, Sensitivity and Specificity, Laryngology, Laryngeal Diseases, Narrow Band Imaging, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Positive predicative value, medicine, Humans, Prospective Studies, Child, 030223 otorhinolaryngology, Societies, Medical, Cancer, Aged, Aged, 80 and over, Laryngoscopy, Benign disease, business.industry, Narrow-band imaging, General Medicine, Middle Aged, medicine.disease, Longitudinal vascular patterns, Europe, Exact test, medicine.anatomical_structure, Otorhinolaryngology, 030220 oncology & carcinogenesis, Papilloma, Female, Radiology, business, Follow-Up Studies |
| الوصف: | A newly proposed classification by the European Laryngological Society (ELS) of glottic lesions by narrow-band imaging (NBI) divides their vascular patterns into longitudinal and perpendicular ones. The latter are further subdivided into the wide and narrow patterns. The longitudinal, wide, and narrow patterns are characteristic of benign disease, papilloma, and malignancy, respectively. The aim of the study was to investigate the diagnostic effectiveness of the classification. Forty patients with glottic lesions underwent microlaryngoscopy. The vascular patterns of all vocal cords were defined with NBI. The affected vocal cords were histologically analysed and comprised the arm (A). Unaffected vocal cords were not histologically analysed but followed-up and comprised the arm (B) and were regarded as true negatives if no suspicious changes appeared during the follow-up. The vocal cords from the arm A were categorised into the benign and malignant group according to the histologic result. The ratio of vascular patterns was determined and the groups were statistically compared using the Chi-square test and Fisher’s exact test. Perpendicular changes were observed in 36.6% (9/26) of benign diseases and in 100% (23/23) of cancer conditions (p OpenSPiltSPi 0.001). Wide perpendicular changes appeared only in papillomas (6/6) while narrow ones mostly in malignancies (23/26) and also in benign conditions (3/26) (p OpenSPiltSPi 0.001). The sensitivity, specificity, positive and negative predictive values, and accuracy were 100, 95, 88, 100 and 96%, respectively. The new ELS classification can be used effectively and safely to differentiate malignant from benign disease. |
| تدمد: | 1434-4726 0937-4477 |
| DOI: | 10.1007/s00405-017-4791-5 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2d7c7d316cf486d92b0fd273989ac447 https://doi.org/10.1007/s00405-017-4791-5 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2d7c7d316cf486d92b0fd273989ac447 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14344726 09374477 |
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| DOI: | 10.1007/s00405-017-4791-5 |