Laryngeal Ultrasound in comparison to Mutislice Computed Tomography and Direct laryngoscopy in the assessment of laryngeal carcinoma
Salem, M., weshahy, H., Radwan, M., Makhlof, O., Elmalah, H. (2021). Laryngeal Ultrasound in comparison to Mutislice Computed Tomography and Direct laryngoscopy in the assessment of laryngeal carcinoma. EKB Journal Management System, 7(3), 9-18. doi: 10.21608/ejnso.2021.212180
Mohamed Salem; Husain Farid weshahy; Moustafa Ezzeldine Radwan; Osama Makhlof; Hossam Galal Elmalah. "Laryngeal Ultrasound in comparison to Mutislice Computed Tomography and Direct laryngoscopy in the assessment of laryngeal carcinoma". EKB Journal Management System, 7, 3, 2021, 9-18. doi: 10.21608/ejnso.2021.212180
Salem, M., weshahy, H., Radwan, M., Makhlof, O., Elmalah, H. (2021). 'Laryngeal Ultrasound in comparison to Mutislice Computed Tomography and Direct laryngoscopy in the assessment of laryngeal carcinoma', EKB Journal Management System, 7(3), pp. 9-18. doi: 10.21608/ejnso.2021.212180
Salem, M., weshahy, H., Radwan, M., Makhlof, O., Elmalah, H. Laryngeal Ultrasound in comparison to Mutislice Computed Tomography and Direct laryngoscopy in the assessment of laryngeal carcinoma. EKB Journal Management System, 2021; 7(3): 9-18. doi: 10.21608/ejnso.2021.212180

Laryngeal Ultrasound in comparison to Mutislice Computed Tomography and Direct laryngoscopy in the assessment of laryngeal carcinoma

Egyptian Journal of Neck Surgery and Otorhinolaryngology
Article 2, Volume 7, Issue 3, December 2021, Page 9-18  XML PDF (585.5 K)
Document Type: Original Article
DOI: 10.21608/ejnso.2021.212180
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Authors
Mohamed Salem1; Husain Farid weshahy1; Moustafa Ezzeldine Radwan2; Osama Makhlof3; Hossam Galal Elmalah2
1ENT Department. Faculty of medicine/Asyut University/Asyut/Egypt
2Diagnostic Radiology Department. Faculty of medicine/Asyut University/Asyut/Egypt
3ENT Department. Menia general hospital/ Menia/Egypt.
Abstract
Introduction Imaging and endoscopy are standard techniques in the diagnosis of laryngeal cancer.
 Aim: To evaluate the effectiveness and limitations of ultrasound, in diagnosing laryngeal carcinoma and to compare with Multislice CT and direct laryngoscopy.
Patients and Methods: Thirty patients included in the study were diagnosed with laryngeal carcinoma by clinical examination, direct laryngoscopy, MSCT, High-resolution ultrasound, and endoscopy.
Results: Thirty male consecutive patients, their ages ranged from 45 to 70 years. Hoarseness was the main presenting symptom (80%). Thirteen patients (43.3%) had a glottic lesion.  Both laryngoscopy and HRUS showed that 9 patients (30%) had good mobility of the vocal folds, 15 patients (50%) had sluggish mobility of the vocal folds, 6 patients (20%) had no mobility. By MDCT 29 cases (96.7%) of tumours can be identified, by HRUS 27 cases (90%) can be identified and 30 cases (100%) can be identified by direct laryngoscopy. By MSCT from 30 cases (20%) 6 of the cases showed extra-laryngeal invasion, (76.6%) 23 of the cases showed no extra-laryngeal invasion, and (40%) 12 cases showed erosion and lyses, (56.7%) 17 cases showed no erosion and lysis. And by HRUS (10%) 3 cases showed extra-laryngeal invasion, (83.3%) 24 of the cases showed no extra-laryngeal invasion, and (30%) 9 cases showed erosion and lyses, (63.3%) 18 cases showed no erosion and lysis. There was no statistical difference between MDCT and HRUS in tumour identification, cartilage invasion, deep tumour spread, and cervical lymph node staging.
Conclusion: Ultrasonography is a safe, easy, and effective imaging modality for the diagnosis of laryngeal carcinoma.
 
Keywords
laryngeal carcinoma; ultrasonography; MSCT; laryngoscopy
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