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Enhanced contact endoscopy – new diagnostic method of cancerous and precancerous lesions of head and neck mucosa


Authors: Peter Kántor 1,2 ;  Anna Švejdová 3 ;  L. Staníková 1,2 ;  Karol Zeleník 1,2 ;  Pavel Komínek 1,2
Authors place of work: Klinika otorinolaryngologie a chirurgie hlavy a krku, FN Ostrava 1;  Katedra kraniofaciálních oborů, LF OU, Ostrava 2;  Klinika otorinolaryngologie a chirurgie hlavy a krku, FN Hradec Králové 3
Published in the journal: Otorinolaryngol Foniatr, 71, 2022, No. 2, pp. 75-81.
Category: Review Article
doi: https://doi.org/10.48095/ccorl202275

Summary

Early dia­gnosis of mucosal lesions of the head and neck is difficult. The lesions are usually small, malignant tumours sometimes seem benign and vice versa, and the patients’ symptoms are nonspecific. These problems may lead to a delay in the dia­gnosis of malignant tumours, or on the contrary, to unnecessarily quick indication for histologic verification of the tumour. Technological advances in recent years improved the pre-histological dia­gnosis with new endoscopic methods (especially Narrow Band Imaging – NBI and IMAGE1 STM), which allowed a better visualization of the mucosal vessels and their surroundings. Another method, called Enhanced Contact Endoscopy (ECE), combines magnifying optics and enhanced imaging modes (such as NBI and IMAGE1 S) and enables accurate assessment of the mucosal vessels of the examined lesion. Based on the changes in the vascular architecture, it is possible to assess the bio­logical character of the lesion with great precision. The aim of this article is to provide a complex overview of ECE.

Keywords:

endoscopy – laryngoscopy – narrow band imaging – carcinoma – intravital microscopy – image enhancement


Zdroje

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Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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