Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (5): 107-110.doi: 10.6040/j.issn.1673-3770.0.2018.579

• Original Article • Previous Articles    

Electronic nasopharyngoscopy for the diagnosis and treatment of otorhinolaryngologic diseases: A retrospective study of 27400 cases

Chengcheng LIANG,Xin WANG,Dapeng LEI()   

  1. Department of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology(Shandong University), Jinan 250012, Shandong, China
  • Received:2018-12-07 Revised:2019-02-23 Online:2019-09-20 Published:2019-10-15
  • Contact: Dapeng LEI E-mail:leidapeng@sdu.edu.cn

RichHTML

10

PDF (PC)

261

Abstract: Objective

To evaluate the efficiency of electronic nasopharyngoscopy in the diagnosis and treatment of otorhinolaryngologic diseases.

Methods

A retrospective analysis of patients who underwent electronic nasopharyngoscopy in the department of otolaryngology from December 1, 2016, to October 1, 2018.

 Results

In total, 27400 patients underwent electronic nasopharyngoscopy for a definitive diagnosis of otorhinolaryngologic diseases. There were 16661 cases of oral or otolaryngologic lesions: 122 cases of foreign bodies in otolaryngological organs, 85 cases of wounds caused by foreign bodies, 32 cases of functional dysphonia, 122 cases of otic lesions, 598 cases of nasal lesions, 498 cases of oral and oropharyngeal lesions, 1364 cases of nasopharyngeal lesions, 13751 cases of laryngeal and hypopharyngeal lesions, 75 cases of tracheal lesions, and 14 cases of parapharyngeal lesions. Electronic nasopharyngoscopy-assisted biopsies performed on 1452 patients with suspected malignant tumors presented with a positive rate of 94.77%. Surgeries were performed on 84 patients and foreign body extractions were performed on 101 patients with the electronic nasopharyngoscopy,

 Conclusion

Electronic nasopharyngoscopy is safe, effective, and specific in the diagnosis and treatment of otolaryngology diseases. It is helpful for the early detection and treatment of minute lesions and otolaryngological tumors.

Key words: Nasopharyngoscopy, Otorhinolaryngologic diseases, Diagnosis, Treatment outcome

CLC Number: 

  • R762
1 李闯 .电子鼻咽喉镜在耳鼻喉科中的临床应用[J].中国医药指南, 2017, 15(35): 93-94. doi:10.15912/j.cnki.gocm.2017.35.075 .
doi: 10.15912/j.cnki.gocm.2017.35.075
2 黄小燕, 罗庆, 金雪玲 . 电子咽喉镜在咽部异物诊治中的应用[J]. 实用临床医学, 2018, 19(11): 64-65. doi:109. 10.13764/j.cnki.lcsy.2018.11.021 .
doi: 109. 10.13764/j.cnki.lcsy.2018.11.021
3 费长顺，江龙生，白雪峰，等 . 经电子鼻咽喉镜诊治下咽部异物242例[J]. 中国乡村医药, 2012, 19(3): 35. doi:10.3969/j.issn.1006-5180.2012.03.027 .
doi: 10.3969/j.issn.1006-5180.2012.03.027
4 Dang PT , Gubbels SP . Is nasopharyngoscopy necessary in adult-onset otitis media with effusion?[J]. The Laryngoscope, 2013, 123(9): 2081-2082. doi:10.1002/lary. 23967 .
doi: 10.1002/lary. 23967
5 O'Sullivan BP , Finger L , Zwerdling RG . Use of nasopharyngoscopy in the evaluation of children with noisy breathing[J]. Chest, 2004, 125(4): 1265-1269. PMID: 15078733. doi:10.1378/chest.125.4.1265
doi: 10.1378/chest.125.4.1265
6 倪晓光, 张宝根 . 窄带成像内镜在鼻咽癌早期诊断中的作用[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(1): 44. doi:10.3760/cma.j.issn.1673-0860.2018.01.009 .
doi: 10.3760/cma.j.issn.1673-0860.2018.01.009
NI Xiaoguang , ZHANG Baogen . The role of narrow band imaging for the early diagnosis of nasopharyngeal carcinoma[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2018, 53(1): 44. doi:10.3760/cma.j.issn.1673-0860.2018.01.009 .
doi: 10.3760/cma.j.issn.1673-0860.2018.01.009
7 倪晓光 . 窄带成像内镜对声带白斑的鉴别诊断[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(1): 76-77. doi:10.3760/cma.j.issn.1673-0860.2017.01.017 .
doi: 10.3760/cma.j.issn.1673-0860.2017.01.017
NI Xiaoguang . The differential diagnosis of narrow band imaging for the leukoplakia lesion on the vocal cord[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2017, 52(1): 76-77. doi:10.3760/cma.j.issn.1673-0860.2017.01.017 .
doi: 10.3760/cma.j.issn.1673-0860.2017.01.017
8 倪晓光 . 窄带成像内镜在早期下咽癌诊断中的应用[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(2): 104. doi:10.3760/cma.j.issn.1673-0860.2016.02.006 .
doi: 10.3760/cma.j.issn.1673-0860.2016.02.006
NI Xiaoguang . Role of Narrow-band imaging endoscopy in the diagnosis of hypopharyngeal carcinoma[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2016, 51(2): 104. doi:10.3760/cma.j.issn.1673-0860.2016.02.006 .
doi: 10.3760/cma.j.issn.1673-0860.2016.02.006
9 陈立晓, 蒋锐, 於子卫 . 窄带成像技术在咽喉肿瘤诊治中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 104-108. doi:10.6040/j.issn.1673-3770.0.2018.174 .
doi: 10.6040/j.issn.1673-3770.0.2018.174
CHEN Lixiao , JIANG Rui , YU Ziwei . Narrow-band imaging in diagnosis and treatment of tumors of the pharynx and larynx[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 104-108. doi:10.6040/j.issn.1673-3770.0.2018.174 .
doi: 10.6040/j.issn.1673-3770.0.2018.174
10 Yan XJ , Fang S. , Huang GW , et al . [Clinical study of nasopharyngeal masses with suspicion of nasopharyngeal carcinoma in adult patients][J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2018, 53(7):519-523. doi: 10.3760/cma.j.issn.1673-0860.2018.07.007 .
doi: 10.3760/cma.j.issn.1673-0860.2018.07.007
11 Shilo S , Abu-Ghanem S , Yehuda M , et al . Nasopharyngeal biopsy in adults presenting with serous otitis media: Cross-sectional study[J]. Head Neck, 2018, 40(7): 1565-1572. doi:10.1002/hed.25135 .
doi: 10.1002/hed.25135
12 Ho CY , Chan KT , Chu PY . Comparison of narrow-band imaging and conventional nasopharyngoscopy for the screening of unaffected members of families with nasopharyngeal carcinoma[J]. Eur Arch Otorhinolaryngol, 2013, 270(9): 2515-2520. doi:10.1007/s00405-013-2354-y .
doi: 10.1007/s00405-013-2354-y
13 朱秋芬, 陈贤明 . 喉结核患者29例电子鼻咽喉镜诊断的价值[J]. 福建医药杂志, 2014, 36(2): 116-118.
14 扈启迪, 李耀君 . 喉结核18例临床分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 85-89. doi:10.6040/j.issn.1673-3770.0.2016.380 .
doi: 10.6040/j.issn.1673-3770.0.2016.380
HU Qidi , LI Yaojun . Clinical analysis of 18 patients with laryngeal tuberculosis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(2): 85-89. doi:10.6040/j.issn.1673-3770.0.2016.380 .
doi: 10.6040/j.issn.1673-3770.0.2016.380
15 王海瑞, 赵俊亭, 刘伟杰, 等 . 耳鼻喉科疾病治疗中电子鼻咽喉镜的应用价值分析[J]. 中国医学创新, 2013,12(25): 103-105. doi:10.3969/j.issn.1674-4985.2013.25.049 .
doi: 10.3969/j.issn.1674-4985.2013.25.049
WANG Hairui , ZHAO Junting , LIU Weijie , et al . Application value of department of ENT disease treatment of electronic endoscope[J]. Medical Innovation of China, 2013,12(25): 103-105. doi:10.3969/j.issn.1674-4985.2013.25.049 .
doi: 10.3969/j.issn.1674-4985.2013.25.049
[1] Taisheng CHEN,Wei WANG,Kaixu XU,Peng LIN. Thoughts on benign paroxysmal positional vertigo and its diagnosis and treatment [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 1-5.
[2] Ming LIU. Transoral laser microsurgery for early glottic neoplasms [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 6-9.
[3] Yupeng SHEN,Qi SONG,Xiaoming LI. Etiology, molecular mechanisms, and treatment strategies of precancerous laryngeal lesions [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 25-30.
[4] ZHANG Guiyang, HUANG He, XIAN Zhi, ZHANG Hanwen, XIE Guicai. Evaluation of clinical effects of sublingual immunotherapy with Dermatophagoides farinae drops in patients of different age groups with allergic rhinitis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 60-65.
[5] LUO Tongyong, YANG Huaqing, YUE Shengqing, JIA Quanfan, YUAN Long. Panitan single resistance and taxol as the first-line treatment of recurrent or metastatic head and neck cancer: a phase Ⅱ study [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 71-75.
[6] YAN Zhigang, ZHANG Huihui, YU Dan, LIU Yan, WEN Lianji, WANG Di. Diagnosis and treatment of cognitive deficits in adult patients with obstructive sleep apnea hypopnea syndrome [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 155-161.
[7] Yongyao LANG,Yun YANG,Qing LIU,Lindi XU,Ziping LIN. Analysis of influencing factors and observation of therapeutic effects in patients with laryngopharyngeal reflux disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 119-123.
[8] Jian FENG,Han ZHOU,Weida DONG. Advances in endoscopic diagnosis of laryngeal cancer [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 129-133.
[9] Xiaolu LI. Differential diagnosis of vestibular migraines and several common types of peripheral vertigo [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 23-26.
[10] Dengyuan WANG,Zhibin CHEN,Miaolin WANG. An assessment of the clinical features of benign paroxysmal positional vertigo associated with Meniere' s disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 61-65.
[11] Jiacheng ZHANG,Liqing ZHANG,Han ZHOU,Meiping LU,Wanyun XU,Yujie SHEN,Yaqin LIU,Min YIN,Weida DONG. Analysis of malignant melanoma of the nasal cavity and paranasal sinuses in 23 cases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 95-99.
[12] Dengyuan WANG, Zhibin CHEN, Guangqian XING. Minimally invasive otoendoscopic surgery: a new path for ear surgery [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 27-30.
[13] WANG Yue, LIU Qian, WANG Haibo. Prospect and progress of spontaneous cerebrospinal fluid otorrhea [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(2): 130-135.
[14] Kai GUAN,Lianglu WANG. Overall diagnosis and treatment strategy for allergic diseases related to hay fever [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(1): 13-19.
[15] Chuanhe LIU. The prevalence, diagnosis and management of asthma in children in China [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(1): 28-32.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd