gms | German Medical Science

83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

16.05. - 20.05.2012, Mainz

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Can be flexible esophagogastroduodenoscopy useful for diagnosis of early laryngeal and hypoharyngeal carcinomas?

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  • corresponding author Pavel Kominek - University Hospital Ostrava, Ostrava, Czech Republic
  • Karol Zelenik - University Hospital Ostrava, Ostrava, Czech Republic
  • Petr Vitek - Internal medicine department, Beskydy gastrocentre, Frydek-Mistek, Czech Republic
  • Ondrej Urban - Gastroenterology, Vítkovická nemocnice, Ostrava, Czech Republic
  • Ivana Kajzrlikova - Internal medicine department, Beskydy gastrocentre, Frydek-Mistek, Czech Republic
  • Miroslav Hanousek - Gastroenterology, Vítkovická nemocnice, Ostrava, Czech Republic

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod124

doi: 10.3205/12hnod124, urn:nbn:de:0183-12hnod1242

Published: April 4, 2012

© 2012 Kominek et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Laryngohypopharyngeal neoplastic diseases are frequently diagnosed at advanced stage. Laryngeal and hypopharyngeal photos (LHP) performed during routine esophagogastroduodenoscopy (EGD) were used for diagnosis of laryngeal and hypopharyngeal diseases.

Methods: In this pilot prospective three standard LHPs (larynx, right and left piriform sinus) were recorded during all EGD. LHPs were subsequently independently evaluated for presence of neoplastic and non-neoplastic lesions by gastroenterologist (GE) and otorhinolaryngologist (ORL) and clinical examination was performed if indicated by ORL. Inclusion criteria were age 18-80 years and informed consent of patient.

Results: Total number of 930 patients (males 479, females 451, mean age 56 (SD±15,5) years) were included. 19(2%) patients were excluded because of low quality of LHPs. Based on LHPs, GE suspected patology in 6,8% (62/911) and ORL suspected patology in 59,9% (545/911) of patients. Clinical examination was performed by ORL in 3,9%.

The most frequent finding was reflux laryngitis (55,9%). Laryngeal spinocellular carcinoma was found and histologically confirmed in 4 (0,4%) patients (all four males, mean age 60 years, all recognized both by GE and ORL), benign lesion in 43 (4,7%) patients. There were no associations of reflux laryngitis for sex, body mass index, presence of endoscopic esofagitis, smoking, alcohol, dysphagia, tec.

Conclusion: Laryngeal and hypopharyngeal photos were feasible in 98% of patients coming to routine EGD. We have found patology in almost 60% of patients. The most frequent finding was reflux laryngitis. Although no early carcinoma was detected, we conclude that routine endoscopic examination of laryngeal and hypopharyngeal region could be beneficial for the patient.