التفاصيل البيبلوغرافية
العنوان: |
Comparative study of flexible nasoendoscopic and rigid endoscopic examination for patients with upper aerodigestive tract symptoms. |
المؤلفون: |
Fleming, J C1, Al-Radhi, Y1, Kurian, A1, Mitchell, D B1 |
المصدر: |
Journal of Laryngology & Otology. Oct2013, Vol. 127 Issue 10, p1012-1016. 5p. |
مصطلحات موضوعية: |
*HEAD tumors, *NECK tumors, *ENDOSCOPY, *COMPARATIVE studies, *CONFIDENCE intervals, *DIGESTIVE organs, *ENDOSCOPES, *FISHER exact test, *RESPIRATORY organs, *PREDICTIVE tests, *DATA analysis software, *DESCRIPTIVE statistics, *DIAGNOSIS |
مصطلحات جغرافية: |
UNITED Kingdom |
مستخلص: |
Introduction:The objective of the current study was to compare the outcomes of rigid endoscopic procedures with those of pre-operative flexible nasoendoscopy.Methods:A total of 253 patients who had undergone rigid endoscopic examination under anaesthesia between 6 January 2010 and 31 August 2011 were identified. Their clinical, surgical and histological records were evaluated.Results:A total of 213 patients had a flexible nasoendoscopic procedure performed and recorded pre-operatively, and 82 in this cohort had a specific lesion or area of concern identified. There were 21 confirmed malignant biopsy results, the majority of which were squamous cell carcinoma. No patient with a negative pre-operative endoscopy had a malignant lesion discovered on endoscopic biopsy. The sensitivity and specificity of pre-operative nasoendoscopy were 100 per cent and 66.3 per cent, respectively.Conclusion:Diagnostic rigid endoscopic examination of the upper aerodigestive tract remains an important tool for excluding malignancy in high-risk patients, but is an unnecessary procedure in those low-risk patients with normal pre-operative findings. [ABSTRACT FROM PUBLISHER] |
قاعدة البيانات: |
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