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Contact telescopy reveals blood vessel alterations of vocal fold mucosa in Reinke's edema.
J Voice. 2007 May; 21(3):355-60.JV

Abstract

AIM

To evaluate contact telescopy findings for estimation of blood vessel changes in vocal fold mucosa in patients with Reinke's edema. Histological features significant for diagnosis of microvascular vocal fold alteration were correlated with clinical findings.

METHODS

In 80 patients with Reinke's edema, laryngoscopy and video-telescopy image analysis of vocal folds were performed. Vocal fold mucosa biopsies were histologically analyzed and compared with contact telescopy findings. An interesting aspect of vocal fold microcirculation found both by contact telescopy imiging and by histological specimens was described.

RESULTS

Contact telescopy in vivo revealed different forms of pathological blood vessel networks with unusual appearance of loops or branching. Some dilated varicose vascular channels had very thin walls, and within atypical capillaries, partial erythrocyte accumulation was found. Details of blood flow are also visible, showing multidirectional and discontinuous blood flow in neighboring vessels.

CONCLUSION

The noninvasive contact telescope technique is very useful as an additional diagnostic tool for defining a condition of a subepithelial Reinke's space in a very short period of time. The great advantage of contact telescopy is systematic in vivo and in situ observation of microvascular details in the vocal folds. The contact technique allows dynamic follow-up of the microcirculation in Reinke's edema as well as simultaneous consultation of a pathologist in the operating theater.

Authors+Show Affiliations

Department of Otorhinolaryngology with Maxillofacial and Cervical Pathology, Clinical Hospital Centre Zemun, Zemun, Serbia and Mentenegro. majov@eunet.yuNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16564676

Citation

Jovanovic, Milan B., et al. "Contact Telescopy Reveals Blood Vessel Alterations of Vocal Fold Mucosa in Reinke's Edema." Journal of Voice : Official Journal of the Voice Foundation, vol. 21, no. 3, 2007, pp. 355-60.
Jovanovic MB, Mulutinovic Z, Perovic J, et al. Contact telescopy reveals blood vessel alterations of vocal fold mucosa in Reinke's edema. J Voice. 2007;21(3):355-60.
Jovanovic, M. B., Mulutinovic, Z., Perovic, J., Grubor, A., Milenkovic, S., & Malobabic, S. (2007). Contact telescopy reveals blood vessel alterations of vocal fold mucosa in Reinke's edema. Journal of Voice : Official Journal of the Voice Foundation, 21(3), 355-60.
Jovanovic MB, et al. Contact Telescopy Reveals Blood Vessel Alterations of Vocal Fold Mucosa in Reinke's Edema. J Voice. 2007;21(3):355-60. PubMed PMID: 16564676.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Contact telescopy reveals blood vessel alterations of vocal fold mucosa in Reinke's edema. AU - Jovanovic,Milan B, AU - Mulutinovic,Zoran, AU - Perovic,Jelena, AU - Grubor,Andrej, AU - Milenkovic,Sanja, AU - Malobabic,Slobodan, Y1 - 2006/03/29/ PY - 2005/09/30/received PY - 2006/01/12/accepted PY - 2006/3/28/pubmed PY - 2007/8/1/medline PY - 2006/3/28/entrez SP - 355 EP - 60 JF - Journal of voice : official journal of the Voice Foundation JO - J Voice VL - 21 IS - 3 N2 - AIM: To evaluate contact telescopy findings for estimation of blood vessel changes in vocal fold mucosa in patients with Reinke's edema. Histological features significant for diagnosis of microvascular vocal fold alteration were correlated with clinical findings. METHODS: In 80 patients with Reinke's edema, laryngoscopy and video-telescopy image analysis of vocal folds were performed. Vocal fold mucosa biopsies were histologically analyzed and compared with contact telescopy findings. An interesting aspect of vocal fold microcirculation found both by contact telescopy imiging and by histological specimens was described. RESULTS: Contact telescopy in vivo revealed different forms of pathological blood vessel networks with unusual appearance of loops or branching. Some dilated varicose vascular channels had very thin walls, and within atypical capillaries, partial erythrocyte accumulation was found. Details of blood flow are also visible, showing multidirectional and discontinuous blood flow in neighboring vessels. CONCLUSION: The noninvasive contact telescope technique is very useful as an additional diagnostic tool for defining a condition of a subepithelial Reinke's space in a very short period of time. The great advantage of contact telescopy is systematic in vivo and in situ observation of microvascular details in the vocal folds. The contact technique allows dynamic follow-up of the microcirculation in Reinke's edema as well as simultaneous consultation of a pathologist in the operating theater. SN - 0892-1997 UR - https://www.unboundmedicine.com/medline/citation/16564676/Contact_telescopy_reveals_blood_vessel_alterations_of_vocal_fold_mucosa_in_Reinke's_edema_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0892-1997(06)00006-3 DB - PRIME DP - Unbound Medicine ER -