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食管胃十二指肠镜检查中发现的口腔及咽喉部良性病变回顾

Review of oral and pharyngolaryngeal benign lesions detected during esophagogastroduodenoscopy.

作者信息

Iwamuro Masaya, Hamada Kenta, Kawano Seiji, Kawahara Yoshiro, Otsuka Motoyuki

机构信息

Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan.

Department of Practical Gastrointestinal Endoscopy, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan.

出版信息

World J Gastrointest Endosc. 2023 Jul 16;15(7):496-509. doi: 10.4253/wjge.v15.i7.496.

DOI:10.4253/wjge.v15.i7.496
PMID:37547241
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10401409/
Abstract

Recent advancements in endoscopy equipment have facilitated endoscopists' detection of neoplasms in the oral cavity and pharyngolaryngeal regions. In particular, image-enhanced endoscopy using narrow band imaging or blue laser imaging play an integral role in the endoscopic diagnosis of oral and pharyngolaryngeal cancers. Despite these advancements, limited studies have focused on benign lesions that can be observed during esophagogastroduodenoscopy in the oral and pharyngolaryngeal regions. Therefore, this mini-review aimed to provide essential information on such benign lesions, along with representative endoscopic images of dental caries, cleft palate, palatal torus, bifid uvula, compression by cervical osteophytes, tonsil hyperplasia, black hairy tongue, oral candidiasis, oral and pharyngolaryngeal ulcers, pharyngeal melanosis, oral tattoos associated with dental alloys, retention cysts, papilloma, radiation-induced changes, skin flaps, vocal cord paresis, and vocal fold leukoplakia. Whilst it is imperative to seek consultation from otolaryngologists or dentists in instances where the diagnosis cannot be definitively ascertained by endoscopists, the merits of attaining foundational expertise pertaining to oral and pharyngolaryngeal lesions are unequivocal. This article will be a valuable resource for endoscopists seeking to enhance their understanding of oral and pharyngolaryngeal lesions.

摘要

内镜设备的最新进展有助于内镜医师检测口腔和咽喉区域的肿瘤。特别是，使用窄带成像或蓝光成像的图像增强内镜在口腔和咽喉癌的内镜诊断中发挥着不可或缺的作用。尽管有这些进展，但针对在口腔和咽喉区域的食管胃十二指肠镜检查过程中可观察到的良性病变的研究仍然有限。因此，本综述旨在提供有关此类良性病变的重要信息，以及龋齿、腭裂、腭隆突、双裂悬雍垂、颈椎骨质增生压迫、扁桃体增生、黑毛舌、口腔念珠菌病、口腔和咽喉溃疡、咽部黑变病、与牙科合金相关的口腔纹身、潴留囊肿、乳头状瘤、放射诱导改变、皮瓣、声带麻痹和声带白斑的代表性内镜图像。虽然在内镜医师无法明确诊断的情况下必须咨询耳鼻喉科医生或牙医，但掌握有关口腔和咽喉病变的基础专业知识的好处是不言而喻的。本文将为寻求加深对口腔和咽喉病变理解的内镜医师提供宝贵的资源。

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