Laryngoscopic characteristics in vocal leukoplakia: Inter‐rater reliability and correlation with histology grading

Abstract

4.

Classification of vocal fold leukoplakia by clinical scoring

“…Images of the vocal cord mucosa were captured by a high‐quality, digital, distal‐chip laryngoscope connected to a white light source imaging system (Laryngoscope: ENF Type VT; Platform: EVIS Exera II; Olympus Optical Co., Tokyo, Japan) and were stored in the picture archiving and communication system. The laryngoscopic characteristics recorded included color, texture, size, hyperemia, and thickness and symmetry, which were previously shown to be consistent between observers . The laryngoscopic characteristics were rated by the senior author (T.J.F.).…”

“…Advances in high‐quality digital imaging systems and distal chip fiber‐optic laryngoscopy have made it possible to distinguish between benign and malignant vocal cord mucosal disorders (Figure ). As reported previously, laryngoscopic characteristics can be determined using a laryngoscopic imaging recording system, with adequate interobserver reliability. The purpose of the present study was to establish a scoring system by combining clinical demographic and laryngoscopic characteristics in order to improve the management of vocal leukoplakia.…”

“…The appearance of vocal leukoplakia varies among individuals and is closely related to histologic findings . Advances in high‐quality digital imaging systems and distal chip fiber‐optic laryngoscopy have made it possible to distinguish between benign and malignant vocal cord mucosal disorders (Figure ).…”

Laryngeal precursor lesions: Interrater and intrarater reliability of histopathological assessment

“…Laryngeal cancer is usually preceded by an intraepithelial precursor lesion . Early diagnosis and treatment of precursor lesions may prevent progression and malignancy, especially if the patient quits smoking . Histopathological assessment is crucial in diagnosing precursor lesions among numerous medical conditions and remains the reference standard for estimating the diagnostic accuracy of imaging techniques .…”

Diagnosis of vocal cord leukoplakia: The role of a novel narrow band imaging endoscopic classification

“…Laryngoscopy is the most important examination for the diagnosis of vocal cord leukoplakia. The relationship between leukoplakia and atypical hyperplasia is determined mainly by observing the color of leukoplakia, surface texture, size, hyperemia, thickness, edema, symmetry, and so on . Particularly, nonhomogeneous lesion texture and existence of hyperemia are independent factors for predicting the risk of malignancy under the laryngoscope .…”