Journal of Diagnostics Concepts & Practice >

2022 , Vol. 21 >Issue 05: 625 - 628

DOI: https://doi.org/10.16150/j.1671-2870.2022.05.013

Original articles

Application of narrow-band imaging in the detection of laryngeal papilloma

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  • Department of Otolaryngology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2022-01-20

  Online published: 2023-01-29

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Abstract

Objective: To explore the efficacy of narrow band imaging (NBI) for diagnosing laryngeal papilloma (LP) detection. Methods: From February 2018 to September 2021, a total of 59 patients with pathologically confirmed LP were enrolled in this study. The detection rate and missed detection rate of LP by NBI were calculated and were compared with those by white light endoscopy. Results: There were 34 cases with single lesion (signal group) and 25 cases with multiple lesions (multiple group). The detection rate of LP by NBI was higher than that by white light pattern (84 vs 61, 85.71% vs 62.24%, P<0.01). The detection rate of LP by NBI was higher than that by white light pattern (30 vs 23, 88.24% vs 67.65%, P<0.05) in single group as well as in the multiple groups (54 vs 38, 84.38% vs 59.38%, P<0.01). By NBI pattern, the number of missed lesions with diameter ≤3 mm was 12, and the number of missed lesions with diameter>3 mm was 2. By white mode, the number of missed lesions with diameter ≤3 mm was 13, and the number of missed lesions with diameter>3 mm was 24. There was significant difference in missed lesions with diameter >3 mm between the two modes (P<0.01). The missed lesions by NBI were located in the laryngeal surface of epiglottis (57.14%) and the anterior vocal cord (42.86%), while by white light pattern were mainly located in the laryngeal surface of epiglottis (54.05%) and the anterior vocal cord (32.43%). Conclusions: The detection rate of LP by electronic laryngoscope NBI pattern is higher than that by white light pattern. It indicates that NBI has advantage in detecting multi LP lesions over white light pattern.

Key words： Narrow band imaging; Laryngeal papilloma; Electronic laryngoscope

Cite this article

CHEN Nijun, CHI Zhihong, WU Jichang . Application of narrow-band imaging in the detection of laryngeal papilloma[J]. Journal of Diagnostics Concepts & Practice, 2022 , 21(05) : 625 -628 . DOI: 10.16150/j.1671-2870.2022.05.013

References

[1] Ivancic R, Iqbal H, deSilva B, et al. Current and future management of recurrent respiratory papillomatosis[J]. Laryngoscope Investig Otolaryngol, 2018, 3(1):22-34.
[2] Derkay CS, Bluher AE. Update on Recurrent respiratory papillomatosis[J]. Otolaryngol Clin North Am, 2019, 52(4):669-679.
[3] Dippold S, Becker C, Nusseck M, et al. Narrow band imaging: a tool for endoscopic examination of patients with laryngeal papillomatosis[J]. Ann Otol Rhinol Laryngol, 2015, 124(11):886-892.
[4] Klimza H, Jackowska J, Pietruszewska W, et al. The narrow band imaging as an essential complement to white light endoscopy in recurrent respiratory papillomatosis diagnostics and follow-up process[J]. Otolaryngol Pol, 2021, 76(1):1-5.
[5] Trzcinska A, Zhang W, Gitman M, et al. The prevalence, anatomic distribution and significance of HPV genotypes in head and neck squamous papillomas as detected by real-time PCR and sanger sequencing[J]. Head Neck Pathol, 2020, 14(2):428-434.
[6] Paderno A, Piazza C, Del Bon F, et al. Deep learning for automatic segmentation of oral and oropharyngeal cancer using narrow band imaging: preliminary experience in a clinical perspective[J]. Front Oncol, 2021, 11:626602.
[7] Guida A, Maglione M, Crispo A, et al. Oral lichen planus and other confounding factors in narrow band imaging (NBI) during routine inspection of oral cavity for early detection of oral squamous cell carcinoma: a retrospective pilot study[J]. BMC Oral Health, 2019, 19(1):70.
[8] Si YF, Deng ZX, Weng JJ, et al. A study on the value of narrow-band imaging (NBI) for the general investigation of a high-risk population of nasopharyngeal carcinoma(NPC)[J]. World J Surg Oncol, 2018, 16(1):126.
[9] Wurster LM, Kretschmer S, J?ger J, et al. Comparison of optical coherence tomography angiography and narrow-band imaging using a bimodal endoscope[J]. J Biomed Opt, 2019, 25(3):1-5.
[10] 倪晓光. 窄带成像喉镜在喉多发乳头状瘤诊治中的应用[J]. 中华耳鼻咽喉头颈外科杂志, 2021, 56(4):415-416.
[10] Ni XG. The application of NBI laryngoscope in the diagnosis and treatment of multiple laryngeal papilloma[J]. Chin J Otorhinolaryngol Head Neck Surg, 2021, 56(4):415-416.
[11] Tjon Pian Gi RE, Halmos GB, van Hemel BM, et al. Narrow band imaging is a new technique in visualization of recurrent respiratory papillomatosis[J]. Laryngoscope, 2012, 122(8):1826-1830.
[12] Arens C, Betz C, Kraft M, et al. Narrow band imaging for early diagnosis of epithelial dysplasia and microinvasive tumors in the upper aerodigestive tract[J]. HNO, 2017, 65(Suppl 1):5-12.
[13] 张帆, 何培杰, 黄芳, 等. 窄带成像内镜在复发性喉乳头状瘤诊疗中的应用[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(11):868.
[13] Zhang F, He PJ, Huang F, et al. Application of narrow-band imaging endoscope in diagnosis and treatment of recurrent respirator papillomatosis[J]. Chin J Otorhinolaryngol Head Neck Surg, 2016, 51(11):868.
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