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NBI and Laryngeal Papillomatosis: A Diagnostic Challenge: A Systematic Review

Author

Listed:
  • Carmelo Saraniti

    (Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy)

  • Salvatore Gallina

    (Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy)

  • Barbara Verro

    (Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, 90127 Palermo, Italy)

Abstract

Narrow-band imaging (NBI) represents a valid aid in laryngeal squamous cell carcinoma (LSCC) diagnosis for detecting vascular changes. However, LSCC and laryngeal papillomatosis (LP) show similar vascular patterns that may lead to misdiagnosis and improper treatment. This review aims to deepen this NBI limit in order to stress a careful preoperative evaluation of laryngeal lesions. The research was carried out on PubMed, Web of Science and Scopus databases using specific keywords. The topic of research was assessed by these parameters: accuracy, sensitivity, specificity, and positive and negative predictive values. This review included only five articles: they demonstrated that NBI is better than white-light endoscopy in detecting LSCC and LP. They also reported that LP is frequently mistaken for LSCC, resulting in high rates of false positives using NBI. This is the first review that emphasized this NBI limitation in distinguishing between LP and LSCC in cases of a type V pattern of intraepithelial papillary capillary loop. Although NBI application increased the rate of early cancer detection, LP reduces NBI accuracy. This drawback may lead to misdiagnosis and improper treatment. Our advice is to be careful in cases of type V pattern on NBI and to research LP epithelial and clinical features because it could be a pitfall.

Suggested Citation

  • Carmelo Saraniti & Salvatore Gallina & Barbara Verro, 2022. "NBI and Laryngeal Papillomatosis: A Diagnostic Challenge: A Systematic Review," IJERPH, MDPI, vol. 19(14), pages 1-7, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8716-:d:865022
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    Citations

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    Cited by:

    1. Barbara Verro & Salvatore Gallina & Carmelo Saraniti, 2022. "Papillomavirus Infection and Prevention: How Much Does the Sicilian Population Know? An Observational Study," IJERPH, MDPI, vol. 19(17), pages 1-11, September.
    2. Carmelo Saraniti & Gaetano Patti & Barbara Verro, 2023. "Sulcus Vocalis and Benign Vocal Cord Lesions: Is There Any Relationship?," IJERPH, MDPI, vol. 20(9), pages 1-10, April.

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