Relevance of endosonography in diagnosis of tumor and pretumor pathology of the larynx, oropharynx and laryngopharynx

Abstract

Aim. The study objective is studying the possibility of endosonography in the diagnosis of tumor and pretumor pathology of the larynx, oropharynx and laryngopharynx. Materials and methods. Endosonographic study was conducted in 20 patients with tumors and suspected tumors of the larynx, laryngopharynx and oropharynx. Results. The use of endoscopic ultrasound (EUS) method was useful and important in determining the thickness and structure of the tumor, with hyperplasia of the lingual and palatine tonsils. Endosonographic picture of fibrous changes after surgery and post-radiation changes, lack of blood flow in the fibrous tissue and blurred contours gave additional information in the differential diagnosis of tumor and non-tumor changes. The results of the ultrasound examination performed in the standard B-mode for the presence of tumors, cysts and formations, suspicious of the tumor of the submucosal layer of the oropharynx and larynx, which were not determined by endoscopic examination, were confirmed. Conclusion. Obtaining a sonographic image simultaneously with endoscopic examination of the formations in the submucosal layer of the oropharynx and larynx will shorten the diagnostic algorithm of the study in patients with pathological changes in this area. The use of endosonography made it possible to confirm the data obtained by ultrasound examination in B-mode and which were not confirmed by endoscopic examination.

Current Problems in the Diagnosis of Head and Neck Tumors

“…Применение эндосонографического исследования при опухолях орофаринегальной области и гортани может быть полезным и важным в отношении обнаружения опухолей, кист и объемных образований, подозрительных на опухоль в области ротоглотки и гортани, которые располагаются в подслизистом слое и не определяются при эндоскопическом исследовании -видеофаринго-и видеоларингоскопии [73].…”