Shohet J A, Courey M S, Scott M A, Ossoff R H
Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN 37232-2559, USA.
Laryngoscope. 1996 Jan;106(1 Pt 1):19-26. doi: 10.1097/00005537-199601000-00005.
Differentiating between benign true vocal fold (TVF) cysts, polyps, and nodules on the basis of their gross appearance would be advantageous in determining the need for surgical therapy. A retrospective study of 32 patients covering 31 months was done to assess the ability to differentiate these lesions on the basis of stroboscopic parameters. Stroboscopic examinations were evaluated for symmetry, amplitude, periodicity, mucosal wave, and closure. Preoperative diagnoses were validated with operative and histologic confirmation. Mucosal wave was absent or diminished in 100% of TVF cysts and present or increased in 80% of TVF polyps (P < .05). Thirty-one percent of original histopathologic diagnoses were modified after pertinent clinical information was provided to the pathologist. Therefore, stroboscopic evaluation of mucosal wave is helpful in preoperative differentiation of TVF cysts and polyps, and providing clinical information to the pathologist is critical for useful histologic information.
基于大体外观区分良性真性声带（TVF）囊肿、息肉和小结节，对于确定是否需要手术治疗将具有重要意义。我们进行了一项为期31个月、涉及32例患者的回顾性研究，以评估根据频闪喉镜参数区分这些病变的能力。对频闪喉镜检查的对称性、振幅、周期性、黏膜波和闭合情况进行了评估。术前诊断通过手术和组织学确认进行验证。100%的TVF囊肿黏膜波缺失或减弱，80%的TVF息肉黏膜波存在或增强（P <.05）。在向病理学家提供相关临床信息后，31%的原始组织病理学诊断被修正。因此，频闪喉镜对黏膜波的评估有助于术前区分TVF囊肿和息肉，向病理学家提供临床信息对于获得有用的组织学信息至关重要。
