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212180

Laryngeal Ultrasound in comparison to Mutislice Computed Tomography and Direct laryngoscopy in the assessment of laryngeal carcinoma

Article

Last updated: 24 Dec 2024

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Abstract

Introduction Imaging and endoscopy are standard techniques in the diagnosis of laryngeal cancer.
 Aim: To evaluate the effectiveness and limitations of ultrasound, in diagnosing laryngeal carcinoma and to compare with Multislice CT and direct laryngoscopy.
Patients and Methods: Thirty patients included in the study were diagnosed with laryngeal carcinoma by clinical examination, direct laryngoscopy, MSCT, High-resolution ultrasound, and endoscopy.
Results: Thirty male consecutive patients, their ages ranged from 45 to 70 years. Hoarseness was the main presenting symptom (80%). Thirteen patients (43.3%) had a glottic lesion.  Both laryngoscopy and HRUS showed that 9 patients (30%) had good mobility of the vocal folds, 15 patients (50%) had sluggish mobility of the vocal folds, 6 patients (20%) had no mobility. By MDCT 29 cases (96.7%) of tumours can be identified, by HRUS 27 cases (90%) can be identified and 30 cases (100%) can be identified by direct laryngoscopy. By MSCT from 30 cases (20%) 6 of the cases showed extra-laryngeal invasion, (76.6%) 23 of the cases showed no extra-laryngeal invasion, and (40%) 12 cases showed erosion and lyses, (56.7%) 17 cases showed no erosion and lysis. And by HRUS (10%) 3 cases showed extra-laryngeal invasion, (83.3%) 24 of the cases showed no extra-laryngeal invasion, and (30%) 9 cases showed erosion and lyses, (63.3%) 18 cases showed no erosion and lysis. There was no statistical difference between MDCT and HRUS in tumour identification, cartilage invasion, deep tumour spread, and cervical lymph node staging.
Conclusion: Ultrasonography is a safe, easy, and effective imaging modality for the diagnosis of laryngeal carcinoma.
 

DOI

10.21608/ejnso.2021.212180

Keywords

laryngeal carcinoma, Ultrasonography, MSCT, laryngoscopy

Authors

First Name

Mohamed

Last Name

Salem

MiddleName

-

Affiliation

ENT Department. Faculty of medicine/Asyut University/Asyut/Egypt

Email

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City

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Orcid

-

First Name

Husain

Last Name

weshahy

MiddleName

Farid

Affiliation

ENT Department. Faculty of medicine/Asyut University/Asyut/Egypt

Email

-

City

-

Orcid

-

First Name

Moustafa

Last Name

Radwan

MiddleName

Ezzeldine

Affiliation

Diagnostic Radiology Department. Faculty of medicine/Asyut University/Asyut/Egypt

Email

-

City

-

Orcid

-

First Name

Osama

Last Name

Makhlof

MiddleName

-

Affiliation

ENT Department. Menia general hospital/ Menia/Egypt.

Email

-

City

-

Orcid

-

First Name

Hossam

Last Name

Elmalah

MiddleName

Galal

Affiliation

Diagnostic Radiology Department. Faculty of medicine/Asyut University/Asyut/Egypt

Email

-

City

-

Orcid

-

Volume

7

Article Issue

3

Related Issue

24888

Issue Date

2021-12-01

Receive Date

2021-11-02

Publish Date

2021-12-01

Page Start

9

Page End

18

Print ISSN

2314-890X

Online ISSN

2314-8918

Link

https://ejnso.journals.ekb.eg/article_212180.html

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https://ejnso.journals.ekb.eg/service?article_code=212180

Order

2

Type

Original Article

Type Code

1,045

Publication Type

Journal

Publication Title

Egyptian Journal of Neck Surgery and Otorhinolaryngology

Publication Link

https://ejnso.journals.ekb.eg/

MainTitle

Laryngeal Ultrasound in comparison to Mutislice Computed Tomography and Direct laryngoscopy in the assessment of laryngeal carcinoma

Details

Type

Article

Created At

22 Jan 2023