Haas E, Döderlein K
Laryngol Rhinol Otol (Stuttg). 1978 Mar;57(3):235-42.
The total of 1420 mikrolarynagoscopic operations during the past 11 years have been epicritically evaluated by the authors. Besides obtaining a disclosure of the various diseases, the question of an early diagnosis of glottis cancer an its preceeding illnesses was discusses. With available case histories, the authors could determine a definite increase in the early stages of the comprehensive glottic carcinoms. The observed optimation of an early diagnosis has been related back to a reduction of the prediagnostic ailment intervals and the consequent prognomatic use of the endolaryngeal microdiagnoses. Considering the possibility of complication during the microlaryngological operation, a critical position was taken to the question of indications, and the diagnostical value of microskopic laryngoskopic as well as the stroboskopic in reference to the early diagnosis of malignant glottic changes were discussed. The authors have come to the previously presented interpretation that with malignantly suspicios appearance a histomorphological clarification by process of endolaryngial microdiagnosis cannot be waived.
作者对过去11年中1420例显微喉镜手术进行了批判性评估。除了揭示各种疾病外，还讨论了声门癌及其前期疾病的早期诊断问题。根据现有病历，作者能够确定综合声门癌早期阶段有明显增加。观察到的早期诊断的优化与诊断前疾病间隔的缩短以及喉内微诊断的后续预后应用有关。考虑到显微喉镜手术期间并发症的可能性，对适应症问题采取了批判性立场，并讨论了显微喉镜检查以及频闪喉镜检查对声门恶性病变早期诊断的诊断价值。作者得出了之前提出的解释，即对于疑似恶性外观，不能放弃通过喉内微诊断进行组织形态学澄清。
