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     Next 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

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] LIN Xiaoxue, LIN Baorui, LI Peishan, LU Biaoqing. Application of electronic nasopharyngoscopy combined with narrow band imaging in traditional Chinese medicine syndrome differentiation of nasopharyngeal carcinoma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(3): 40-46.
[2] CHENG Zhuo, LIANG Hui, XING Lumin. Research progress and prospect analysis of deep learning technology in the application of pharyngeal and laryngeal endoscopy [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 112-119.
[3] LIU Yijie, LU Xiuzhen, WU Qiuxin. Research rogress of exosomes in the pathogenesis, diagnosis and treatment in ophthalmic diseases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 135-141.
[4] LI Zan, LU Qi, SHEN Weidong, HOU Zhaohui, WU Nan. Clinical diagnosis and treatment features of 18 cases of necrotizing otitis externa [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 17-22.
[5] MA Xiaobao, SHEN Jiali, YANG Jun, CHEN Jianyong, ZHU Songhuan. Exploring the clinical implications of normal VOR gain with refixation saccades in lateral canal [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 40-45.
[6] LIU Ziqi, HUANG Jiali, WANG Liqin, CHEN Xi, ZHANG Liqing, ZHOU Han. Application of narrow band imaging endoscopy combined with voice acoustic analysis in the differential diagnosis of vocal cord leukoplakia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 87-96.
[7] SUN Shuo, YUAN Tiejun, CHEN Yao, QI Lingling, HAN Rongrong. Misdiagnosis of lingual tuberculosis: a case report and literature veview [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(6): 138-143.
[8] LIU Nanxian, YANG Zeyin, HAN Lin, ZHANG Aiying, ZHAO Yuliang, XUE Jing, SUN Yijun, SHAO Yongliang. Significance of video-EEG in the diagnosis of recurrent vertigo in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(5): 20-25.
[9] ZHOU Zhihang, LIU Suru, ZHOU Jing, CHEN Dan, YANG Jiajing, LIU Rui, ZHOU Li. Etiology and treatment advances in glottic insufficiency [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(3): 97-103.
[10] WU Wei, WANG Lei, CHEN Sheng, LI Lianyong, WANG Gang. Multidisciplinary research and advances in gastro-oesophageal reflux disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 1-14.
[11] LIU Lianlian, LI Jinrang. Obstructive sleep apnea and laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 15-22.
[12] LI Gui, YANG Yanli, LI Donghai, YAN Xiuying. Adult orbital xanthogranulomatous disease with clinicopathological analysis report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 80-85.
[13] PENG Yuting, LI Jianhao, WANG Yan. Orbital apex syndrome secondary to nasal-orbital-skull base malignant tumor: a case report and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 105-111.
[14] CHEN Haiyan, WANG Ping. Easily misdiagnosed posterior scleritis:a case and literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(4): 126-130.
[15] ZHANG Yuhuan, ZHANG Junbo, YIN Guoping, YUAN Xuemei, CAO Xin, SUN Yu, CHEN Qiang, YE Jingying. Comparative analysis of polysomnography parameters between the first and second halves of the night in snoring patients [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(6): 112-117.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!