Value of ultrasonography in laryngeal and laryngopharyngeal cancers

Desai, Archana A.; Pandya, V. K.; Bhalani, Dipesh B.; Desai, Sanjiv; Parikh, Bhavin

doi:10.1007/bf02974348

Cited by 9 publications

(2 citation statements)

References 7 publications

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“…TLUSG was proposed as a promising technique in the assessment of laryngeal carcinoma and it could be used as a valuable supplementary imaging method to CT/MRI and laryngoscopy, helping in planning treatment. Studies have confirmed that ultrasonography can accurately investigate laryngeal cartilage infiltration, local extension of laryngeal tumors, vocal cord mobility, nodal staging and extralaryngeal spread into pre-epiglottic space, base of the tongue, hypopharynx, subglottic space and thyroid gland [ 33 , 34 ]. According to Dhoot et al [ 35 ], ultrasonography has been shown to be more sensitive than CT in diagnosing invasion of the thyroid cartilage.…”

Section: Discussionmentioning

confidence: 99%

“…Specificity: 96.1% 6 Dedecjus [ 13 ] 2010 Poland Evaluation of vocal cords function Evaluation of the functionality of vocal folds before and after thyroidectomy 50 Sensitivity: 100%. Specificity: 95.7% 7 Desai [ 34 ] 2004 India Assessment of laryngeal cancer and other laryngeal lesions Assessment of laryngeal and laryngopharyngeal cancers 25 Identification of vocal cord mobility: 92%; thyroid cartilage invasion: 68%; extra-laryngeal spread: 16% 8 Dhoot [ 35 ] 2017 India Assessment of laryngeal cancer and other laryngeal lesions Assessment of thyroid cartilage invasion in laryngeal and hypopharyngeal cancers 62 Sensitivity: 98%; specificity: 75% 9 Gadd [ 49 ] 2018 Australia Ultrasound-guided cricothyroidotomy Cricothyroid membrane localization during ultrasound-guided cricothyroidotomy 80 Sensitivity: 80%. Specificity: 15% 10 Gambardella [ 10 ] 2020 Italy Evaluation of vocal cords function Preoperative evaluation of vocal cords function in patients candidates to thyroid surgery 396 Sensitivity: 96.8%.…”

Section: Methodsmentioning

confidence: 99%

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Clinical usefulness of transcutaneous laryngeal ultrasonography in otolaryngology practice during COVID-19 pandemic: a literature review

Sciancalepore¹,

Anzivino²,

Petrone³

et al. 2022

J Ultrasound

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As a consequence of the outbreak of SARS-CoV-2, the clinical practice of otolaryngologists underwent profound transformations. Non-aerosol-generating procedures have been researched and implemented. Transcutaneous laryngeal ultrasonography (TLUSG) provides a rapid and noninvasive method to assess laryngeal function and can support the management of laryngeal disorders. With the aim of investigating the clinical usefulness of TLUSG in otolaryngology practice, a review of the literature published on PubMed, Cochrane Library and Ovid/ Medline databases was performed up to March 2022. 38 studies were eligible to be included in the review. The selected papers were divided into six topics of interest: evaluation of vocal cords function, diagnosis of laryngeal disorders in infants and children, evaluation of swallowing disorders, assessment of laryngeal cancer and other laryngeal lesions, ultrasound-guided cricothyroidotomy, ultrasound-guided laryngeal electromyography. The results of this review demonstrated that TLUSG, applied to ENT practice, can be a valid method for dynamic laryngeal assessment and airway management, since it is time-efficient, non invasive, well tolerated and easily performed.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Clinical usefulness of transcutaneous laryngeal ultrasonography in otolaryngology practice during COVID-19 pandemic: a literature review

Sciancalepore¹,

Anzivino²,

Petrone³

et al. 2022

J Ultrasound

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Usefulness of ultrasound for assessing the primary tumor of hypopharyngeal carcinoma

Fukuhara

Matsuda

Hattori

et al. 2017

Laryngoscope Investig Oto

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ObjectivesTo clarify the usefulness of ultrasonography for detecting hypopharyngeal cancer.Study DesignCross‐sectional study.MethodsThe study included 95 patients who underwent pre‐treatment ultrasonography. We evaluated the usefulness of ultrasonography for detecting primary hypopharyngeal carcinoma of each T stage and subsite, and for assessing extrahypopharyngeal invasion. Additionally, we determined the efficacy of color Doppler for evaluating primary hypopharyngeal carcinoma.ResultsThe patients comprised 93 men and 2 women with a mean age of 67.5 years. The T stage (primary tumors) was T1 in 29 patients, T2 in 22, T3 in 9, and T4 in 35. Primary sites with a T stage over T3 were detected using ultrasonography in 17 patients.Regarding primary subsites, postcricoid tumors were assessed most easily (64%), while posterior wall tumors were the most difficult to assess (25%). In 15 of 17 patients, the evaluation of extrahypopharyngeal invasion by ultrasonography matched up precisely with computed tomography findings. In addition, abnormally increased blood flow in primary hypopharyngeal cancers was recognized by color Doppler, and could be used to predict subsites.ConclusionsCancers at T3 and T4 hypopharyngeal primary tumors and their extrahypopharyngeal invasion were detectable using ultrasonography. Furthermore, ultrasonography was useful for assessing postcricoid tumors that were difficult to observe by flexible laryngoscopy.Level of Evidence4

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Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

Mannelli

Cecconi

Gallo

2016

Critical Reviews in Oncology/Hematology

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Abstract.Background: Multi-step cancerogenesis guides laryngeal cancer onset and it includes a wide variety of pre-cancerous lesions that are macroscopically challenging to identify and distinguish from initial cancerous foci. Since the treatment of laryngeal cancer and its precursor lesions has a great impact on important laryngeal basic functions, early detection and preoperative assessment are important for a curative and function-preserving therapy. Nowadays, despite the high number of more advanced diagnostic techniques and methods, unfortunately, it is not uncommon for different clinicians to use different nomenclature or to identify different stage for the same laryngeal lesion. From these observations, it is obvious that an instrument offering the possibility to detect precancerous lesions, early cancerous lesions, and satellite foci or second primaries would be the key to improving management and outcome in laryngeal patients. Object. Different modalities of diagnostic techniques of laryngeal lesions exist. Rather than difference between benign and obvious malignant diseases, more difficult is to detect the presence of precancerous epithelial alterations. Not all tests achieve the same diagnostic accuracy, hence this meta-analysis of literature aimed to synthesize the validity of each single diagnostic technique in identifying and staging laryngeal disease. Methods: A systematic review of literature was led searching for articles mentioning the following terms including their various combinations to maximize the yield: larynx, laryngeal precancerous lesions, laryngeal cancer, white light (WL) endoscopy, stroboscopy, contact endoscopy (CE), autofluorescence (AF), ultrasound (US), narrow band imaging (NBI), computed axial tomography (CAT), magnetic resonance imaging (MRI), positron emission tomography (PET), CAT/PET. Then, a quantitative analysis was carried on for paper published after 2005 onward, reporting a minumun series of 10 patients each study, declaring sensitivity and specificity of each diagnostic system. Results: The search identified 7215 publications, of which 3616 published after 2005, with a final results of a total of 214 articles stratified and included by our selection criteria. 42 out of 214 articles were selected for quantitative synthesis. 25 out of 41 studies had a quality score of ≥ 6 (good), 16 presented a score between 4 and 5 (fair). While objections can be raised about the pooling of different diagnostic procedures under the same group and the high level of heterogeneity in the meta-analyses, the inclusion of over 4400 laryngeal lesions makes the results fairly robust. Conclusions: A comprehensive overview of the most recent advances in laryngeal imaging technology combined with all of the information needed to interpret findings and successfully manage patients with voice disorders can be found herein. With these data, clinicians can riskstratify patients and select proper examination modalities in order to provide appropriate care. Moreover, study limitations, together with p...

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Value of ultrasonography in laryngeal and laryngopharyngeal cancers

Cited by 9 publications

References 7 publications

Clinical usefulness of transcutaneous laryngeal ultrasonography in otolaryngology practice during COVID-19 pandemic: a literature review

Clinical usefulness of transcutaneous laryngeal ultrasonography in otolaryngology practice during COVID-19 pandemic: a literature review

Usefulness of ultrasound for assessing the primary tumor of hypopharyngeal carcinoma

Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

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