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Application of haemoglobin absorption spectral imaging in laryngeal papilloma surgery

Published online by Cambridge University Press:  21 April 2022

Tao Li Open the ORCID record for Tao Li [Opens in a new window] ,
Yuke Dong ,
Wei Han ,
Xiao Shen ,
Wendan Gong ,
Lianfang Xu  and
Yujie Li Open the ORCID record for Yujie Li [Opens in a new window]
Tao Li
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Zhengzhou Central Hospital affiliated with Zhengzhou University, Zhengzhou, Henan, China
Yuke Dong
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Zhengzhou Central Hospital affiliated with Zhengzhou University, Zhengzhou, Henan, China
Wei Han
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Zhengzhou Central Hospital affiliated with Zhengzhou University, Zhengzhou, Henan, China
Xiao Shen
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Zhengzhou Central Hospital affiliated with Zhengzhou University, Zhengzhou, Henan, China
Wendan Gong
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Zhengzhou Central Hospital affiliated with Zhengzhou University, Zhengzhou, Henan, China
Lianfang Xu
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Zhengzhou Central Hospital affiliated with Zhengzhou University, Zhengzhou, Henan, China
Yujie Li*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Zhengzhou Central Hospital affiliated with Zhengzhou University, Zhengzhou, Henan, China
*
Author for correspondence: Dr Yujie Li, Department of Otorhinolaryngology, Head and Neck Surgery, Zhengzhou Central Hospital affiliated with Zhengzhou University, 16 Tongbai North Road, Zhongyuan District, Zhengzhou City, Henan Province, China 450052 E-mail: liyujie1234@126.com
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Abstract

Objective

This study compares the detection rates of haemoglobin absorption spectral imaging and white light imaging in laryngeal papilloma surgery.

Methods

Seventeen patients with laryngeal papilloma who underwent surgery in our department from September 2019 to September 2021 were selected. All patients underwent carbon dioxide laser surgery under a microscope. The lesion sites were explored in white light mode and haemoglobin absorption spectral imaging mode. The pharynx and larynx anatomical sites were evaluated using Derkay's all-position scoring system. The numbers and scores for lesions observed in the two modes were compared.

Results

In 17 cases, there were statistically significant differences in the numbers of laryngeal papillomas (Derkay score) detected by white light mode and haemoglobin absorption spectral imaging mode. In 9 of 17 patients (52.94 per cent), the haemoglobin absorption spectral imaging mode showed additional diseased tissues.

Conclusion

The haemoglobin absorption spectral imaging mode can dynamically identify diseased tissues in carbon dioxide laser surgery under a microscope and improve the laryngeal papilloma detection rate.

Keywords

Narrow Band ImagingPapillomaCO2 Lasers
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 4 , April 2023 , pp. 455 - 461
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr Y Li takes responsibility for the integrity of the content of the paper

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