caa a22 4500 606182535 CHVBK 20210128100816.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00405-014-3181-5 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3181-5 Videolaryngostroboscopy versus microlaryngoscopy for the diagnosis of benign vocal cord lesions: a prospective clinical study [Elektronische Daten] [Sevtap Akbulut, Hande Altintas, Haldun Oguz] The aim of this study is to prospectively compare rigid videolaryngostroboscopy with microlaryngoscopy for the diagnosis of benign vocal cord lesions. Eighty-five adult patients with benign vocal cord lesions were evaluated with videolaryngostroboscopy and later underwent microlaryngoscopy. During microlaryngoscopy, systematic examination of the glottis was conducted, including careful inspection and meticulous palpation of the vocal cords from anterior commissure to arytenoids. Preoperative and intraoperative diagnoses were analyzed. One hundred and forty-one lesions were diagnosed preoperatively with rigid videolaryngostroboscopy in 85 patients. Microlaryngoscopy revealed a total of 199 lesions in these patients, demonstrating a 41.1% higher diagnostic yield. Forty-five (77.6%) of the 58 additional lesions involved structural abnormalities, including sulcus vocalis, microwebs, vascular ectasia, mucosal bridges, and anterior web. The preoperative diagnosis was consistent with the postoperative diagnosis in only 29 patients (34.2%). For the rest of the patients (n=56, 65.8%), the preoperative diagnosis was either changed, or new lesions were identified during microlaryngoscopy. Intraoperative diagnosis of benign vocal cord lesions differs significantly from preoperative diagnosis, regarding both the type and number of lesions present. A large proportion of patients diagnosed with videolaryngostroboscopy have additional lesions, particularly structural abnormalities. Precise inspection and palpation of vocal cords are thus essential during microlaryngoscopy. Springer-Verlag Berlin Heidelberg, 2014 Microlaryngoscopy nationallicence Videolaryngostroboscopy nationallicence Benign vocal cord lesions nationallicence Structural abnormalities nationallicence Phonomicrosurgery nationallicence Voice nationallicence Akbulut Sevtap Department of Otolaryngology Head and Neck Surgery, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Denizer cd. E-5 Cevizli Mevkii Kartal, Istanbul, Turkey aut Altintas Hande Department of Otolaryngology Head and Neck Surgery, Acibadem Hospital, Istanbul, Turkey aut Oguz Haldun Department of Otolaryngology Head and Neck Surgery, Near East University Medical School, Nicosia, Cyprus aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 131-136 0937-4477 272:1<131 2015 272 405 https://doi.org/10.1007/s00405-014-3181-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3181-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Akbulut Sevtap Department of Otolaryngology Head and Neck Surgery, Dr. Lutfi Kirdar Kartal Training and Research Hospital, Denizer cd. E-5 Cevizli Mevkii Kartal, Istanbul, Turkey aut NATIONALLICENCE 700 1- Altintas Hande Department of Otolaryngology Head and Neck Surgery, Acibadem Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Oguz Haldun Department of Otolaryngology Head and Neck Surgery, Near East University Medical School, Nicosia, Cyprus aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/1(2015-01-01), 131-136 0937-4477 272:1<131 2015 272 405