Flexible Transnasal Videolaryngoscopy
Monday, May 8, 2017

Return to: Laryngeal leukoplakia white plaques on vocal cords

See also: Esophagoscopy with narrow band imaging (NBI) for Reflux Esophagitis

Case Overview

Pathology showed: Focal mild dysplasia at anterolateral margin with associated acanthosis, hyperkeratosis, and acute and chronic inflammation. Biopsy of irregular GE junction showed Barrett's metaplasia without dysplasia.

 

Preoperative Exam in clinic with transnasal high definition videostroboscopy with narrow band imaging

In Clinic Exam
In clinic exam with High definition standard light
In clinic exam with High definition narrow band imaging
In clinic exam with High definition with narrow band imaging (NBI
 High definition standard lightHigh definition narrow band imagingHigh definition with narrow band imaging (NBI)
In clinic exam with High definition standard light
   
High definition standard light   
 

Intraoperative resection left vocal fold leukoplakia

Intraoperative - resection of left vocal fold leukoplakia
Intraoperative - resection of left vocal fold leukoplakia
Intraoperative - resection of left vocal fold leukoplakia
Intraoperative - resection of left vocal fold leukoplakia
Intraoperative - resection of left vocal fold leukoplakia
Intraoperative - resection of left vocal fold leukoplakia
Intraoperative - resection of left vocal fold leukoplakia
 
 

Histology of left vocal cord resection

This mucosa shows budding along the mucosa/submucosal junction with mild cytologic atypia and nuclear hyperchromatism confined to the basal third warranting a diagnosis of mild dysplasia.
In contrast to the prior photomicrograph, this portion of the mucosa shows a densely keratotic surface without significant cytologic atypia and a regular mucosal/submucosal junction.
This mucosa shows budding along the mucosa/submucosal junction with mild cytologic atypia and nuclear hyperchromatism confined to the basal third warranting a diagnosis of mild dysplasia.In contrast to the prior photomicrograph, this portion of the mucosa shows a densely keratotic surface without significant cytologic atypia and a regular mucosal/submucosal junction.