Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais

Detalhes bibliográficos
Autor(a) principal: Mendes Neto, José Arruda [UNIFESP]
Data de Publicação: 2008
Outros Autores: Pinna, Bruno Resende [UNIFESP], Caporrino Neto, José [UNIFESP], Pedroso, José Eduardo De Sá [UNIFESP]
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0034-72992008000600009
http://repositorio.unifesp.br/handle/11600/4693
Resumo: Proper diagnosis of laryngeal benign lesions still brings doubts among experienced laryngologists, despite current diagnostic progress. AIM: the goal of this study was to compare telelaryngoscopy (preoperative) with suspension laryngoscopy (intraoperative) on the diagnosis of vocal fold benign lesions. MATERIALS AND METHODS: We carried out a restrospective study analyzing 79 charts from patients followed up in a University Hospital. In all the charts there was at least diagnostic hypothesis suggested by telelaryngoscopy, which was later on compared to intraoperative findings of suspension laryngoscopy. RESULTS: Almost two-thirds of the patients were females, with ages varying between 12 and 66 years (mean of 37 years). Of the 79 patients studied, we diagnosed 95 lesions with telelaryngoscopy and 124 with suspension laryngoscopy. The most frequently found benign lesion was the vocal polyp in both methods. In 64.5% of the cases the diagnosis of the lesions in the outpatient ward was the same as those in the surgical findings. CONCLUSION: Laryngologists must be prepared to alter their surgical planning and treatment approaches because of diagnostic changes that may happen during surgery.
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spelling Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocaisComparison between telelaryngoscopy and suspension laryngoscopy in the diagnosis of benign vocal fold lesionssurgeryvocal cordsdiagnosiscirurgiacordas vocaisdiagnósticoProper diagnosis of laryngeal benign lesions still brings doubts among experienced laryngologists, despite current diagnostic progress. AIM: the goal of this study was to compare telelaryngoscopy (preoperative) with suspension laryngoscopy (intraoperative) on the diagnosis of vocal fold benign lesions. MATERIALS AND METHODS: We carried out a restrospective study analyzing 79 charts from patients followed up in a University Hospital. In all the charts there was at least diagnostic hypothesis suggested by telelaryngoscopy, which was later on compared to intraoperative findings of suspension laryngoscopy. RESULTS: Almost two-thirds of the patients were females, with ages varying between 12 and 66 years (mean of 37 years). Of the 79 patients studied, we diagnosed 95 lesions with telelaryngoscopy and 124 with suspension laryngoscopy. The most frequently found benign lesion was the vocal polyp in both methods. In 64.5% of the cases the diagnosis of the lesions in the outpatient ward was the same as those in the surgical findings. CONCLUSION: Laryngologists must be prepared to alter their surgical planning and treatment approaches because of diagnostic changes that may happen during surgery.O correto diagnóstico das lesões benignas da laringe ainda causa dúvida em laringologistas experientes, apesar dos avanços diagnósticos. OBJETIVO: O objetivo desse estudo foi comparar a telelaringoscopia (pré-operatória) com a laringoscopia de suspensão (intra-operatória) no diagnóstico das lesões benignas das pregas vocais. MATERIAL E MÉTODO: Foi realizado um estudo retrospectivo através da análise de 79 prontuários de pacientes acompanhados em um hospital universitário. Em todos os prontuários havia pelo menos uma hipótese diagnóstica ambulatorial sugerida pela telelaringoscopia, que posteriormente foi comparada aos achados intra-operatórios da laringoscopia de suspensão. RESULTADOS: Quase dois terços dos pacientes eram do gênero feminino, com idade variando de 12 aos 66 anos (média de 37 anos). Dos 79 pacientes estudados, foram diagnosticadas 95 lesões com a telelaringoscopia e 124 com a laringoscopia de suspensão. A lesão benigna mais freqüente foi pólipo vocal em ambos os métodos. Em 64,5% dos casos, o diagnóstico das lesões feito no ambulatório foi o mesmo dos achados cirúrgicos. CONCLUSÃO: O laringologista deve estar preparado para alterar seu planejamento cirúrgico e abordagens terapêuticas devido às mudanças diagnósticas que ocorrem no intra-operatório.UNIFESP-EPMUniversidade Federal de São Paulo (UNIFESP) Departamento de Otorrinolaringologia e Cirurgia de Cabeça e PescoçoUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUNIFESP, EPMUNIFESP, Depto. de Otorrinolaringologia e Cirurgia de Cabeça e PescoçoUNIFESP, EPMSciELOABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-FacialUniversidade Federal de São Paulo (UNIFESP)Mendes Neto, José Arruda [UNIFESP]Pinna, Bruno Resende [UNIFESP]Caporrino Neto, José [UNIFESP]Pedroso, José Eduardo De Sá [UNIFESP]2015-06-14T13:38:52Z2015-06-14T13:38:52Z2008-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion869-875application/pdfhttp://dx.doi.org/10.1590/S0034-72992008000600009Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 74, n. 6, p. 869-875, 2008.10.1590/S0034-72992008000600009S0034-72992008000600009.pdf0034-7299S0034-72992008000600009http://repositorio.unifesp.br/handle/11600/4693porRevista Brasileira de Otorrinolaringologiainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-28T16:21:32Zoai:repositorio.unifesp.br/:11600/4693Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-28T16:21:32Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais
Comparison between telelaryngoscopy and suspension laryngoscopy in the diagnosis of benign vocal fold lesions
title Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais
spellingShingle Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais
Mendes Neto, José Arruda [UNIFESP]
surgery
vocal cords
diagnosis
cirurgia
cordas vocais
diagnóstico
title_short Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais
title_full Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais
title_fullStr Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais
title_full_unstemmed Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais
title_sort Comparação entre a telelaringoscopia e a laringoscopia de suspensão no diagnóstico das lesões benignas das pregas vocais
author Mendes Neto, José Arruda [UNIFESP]
author_facet Mendes Neto, José Arruda [UNIFESP]
Pinna, Bruno Resende [UNIFESP]
Caporrino Neto, José [UNIFESP]
Pedroso, José Eduardo De Sá [UNIFESP]
author_role author
author2 Pinna, Bruno Resende [UNIFESP]
Caporrino Neto, José [UNIFESP]
Pedroso, José Eduardo De Sá [UNIFESP]
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Mendes Neto, José Arruda [UNIFESP]
Pinna, Bruno Resende [UNIFESP]
Caporrino Neto, José [UNIFESP]
Pedroso, José Eduardo De Sá [UNIFESP]
dc.subject.por.fl_str_mv surgery
vocal cords
diagnosis
cirurgia
cordas vocais
diagnóstico
topic surgery
vocal cords
diagnosis
cirurgia
cordas vocais
diagnóstico
description Proper diagnosis of laryngeal benign lesions still brings doubts among experienced laryngologists, despite current diagnostic progress. AIM: the goal of this study was to compare telelaryngoscopy (preoperative) with suspension laryngoscopy (intraoperative) on the diagnosis of vocal fold benign lesions. MATERIALS AND METHODS: We carried out a restrospective study analyzing 79 charts from patients followed up in a University Hospital. In all the charts there was at least diagnostic hypothesis suggested by telelaryngoscopy, which was later on compared to intraoperative findings of suspension laryngoscopy. RESULTS: Almost two-thirds of the patients were females, with ages varying between 12 and 66 years (mean of 37 years). Of the 79 patients studied, we diagnosed 95 lesions with telelaryngoscopy and 124 with suspension laryngoscopy. The most frequently found benign lesion was the vocal polyp in both methods. In 64.5% of the cases the diagnosis of the lesions in the outpatient ward was the same as those in the surgical findings. CONCLUSION: Laryngologists must be prepared to alter their surgical planning and treatment approaches because of diagnostic changes that may happen during surgery.
publishDate 2008
dc.date.none.fl_str_mv 2008-12-01
2015-06-14T13:38:52Z
2015-06-14T13:38:52Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0034-72992008000600009
Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 74, n. 6, p. 869-875, 2008.
10.1590/S0034-72992008000600009
S0034-72992008000600009.pdf
0034-7299
S0034-72992008000600009
http://repositorio.unifesp.br/handle/11600/4693
url http://dx.doi.org/10.1590/S0034-72992008000600009
http://repositorio.unifesp.br/handle/11600/4693
identifier_str_mv Revista Brasileira de Otorrinolaringologia. ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, v. 74, n. 6, p. 869-875, 2008.
10.1590/S0034-72992008000600009
S0034-72992008000600009.pdf
0034-7299
S0034-72992008000600009
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Revista Brasileira de Otorrinolaringologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 869-875
application/pdf
dc.publisher.none.fl_str_mv ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial
publisher.none.fl_str_mv ABORL-CCF Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
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