Comparison between telelaryngoscopy and suspension laryngoscopy in the diagnosis of benign vocal fold lesions.
Proper diagnosis of laryngeal benign lesions still brings doubts among experienced laryngologists, despite current diagnostic progress.


OBJECTIVE
The goal of this study was to compare telelaryngoscopy (preoperative) with suspension laryngoscopy (intraoperative) on the diagnosis of vocal fold benign lesions.


METHODS
We carried out a restrospective study analyzing 79 charts from patients followed up in a University Hospital. In all the charts there was at least diagnostic hypothesis suggested by telelaryngoscopy, which was later on compared to intraoperative findings of suspension laryngoscopy.


RESULTS
Almost two-thirds of the patients were females, with ages varying between 12 and 66 years (mean of 37 years). Of the 79 patients studied, we diagnosed 95 lesions with telelaryngoscopy and 124 with suspension laryngoscopy. The most frequently found benign lesion was the vocal polyp in both methods. In 64.5% of the cases the diagnosis of the lesions in the outpatient ward was the same as those in the surgical findings.


CONCLUSIONS
Laryngologists must be prepared to alter their surgical planning and treatment approaches because of diagnostic changes that may happen during surgery.
Neto
José Arruda Mendes
JAM
MD, Otorhinolaryngology Resident - UNIFESP-EPM.
Pinna
Bruno Resende
BR
Otorhinolaryngologist. MSc. Student - Laryngology and Voice Department - Federal University of São Paulo Department of Otorhinolaryngology Head and Neck Surgery - Otorhinolaryngologist, MSc student - Larynx and Voice Department - ENT Department - Federal University of São Paulo - UNIFESP.
Neto
José Caporrino
JC
Otorhinolaryngologist, PhD in Otorhinolaryngology and Head and Neck Surgery - UNIFESP.
de Sá Pedroso
José Eduardo
JE
Otorhinolaryngologist, PhD in Otorhinolaryngology and Head and Neck Surgery - UNIFESP.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D007818:Laryngeal Diseases / Q000175:diagnosis* / Q000601:surgery; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014827:Vocal Cords / Q000601:surgery; D055815:Young Adult