
Conventional endoscopy versus virtual laryngoscopy in assessment of laryngeal lesions
Author(s) -
Ahmad S. Ragheb,
Khaled M. El-Gerby,
Ayman Ahmed,
Mohammad Waheed ElAnwar,
Said Abd El-monaem
Publication year - 2013
Publication title -
the egyptian journal of radiology and nuclear medicine /the egyptian journal of radiology and nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.19
H-Index - 13
eISSN - 2090-4762
pISSN - 0378-603X
DOI - 10.1016/j.ejrnm.2013.05.009
Subject(s) - laryngoscopy , medicine , larynx , radiology , endoscopy , laryngeal diseases , intubation , surgery
BackgroundVirtual laryngoscopy is a non invasive computed tomography based technique that allows dynamic intra-luminal laryngeal evaluation resembling direct laryngoscopy.ObjectiveThe aim of this prospective study is to evaluate the accuracy, clinical value and limitation of VL in the diagnosis of laryngeal masses in comparison to conventional laryngoscopy.Patients and methodsForty-two (42) patients with different laryngeal lesions (VL) was performed through advantage window navigation system (GE) using volume rendering reconstruction fly and through technique to navigate the laryngeal lumen.ResultsForty-two patients with different laryngeal pathology were examined, hoarseness of voice in 27 patients 67.5%, stridor in 17 cases 42.5%, followed by chronic cough in 11 patients 27.5%, the laryngeal lesions was 18 carcinoma 45%, 13 subglottic stenosis 32.5%, 6 polyps 15%, 2 nodules 5% and 1 papilloma 2.5%, direct laryngoscopy was performed for 40 patients and all cases were pathologically proved.ConclusionVL is an additive tool in conjunction with the direct laryngoscopy and easily reaches the lower limit of the lesion compared to direct laryngoscopy