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Die Kontaktendoskopie mit Narrow Band Imaging (KE-NBI) erm\u00f6glicht eine detaillierte Analyse solcher Gef\u00e4\u00dfver\u00e4nderungen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>In dieser Arbeit wurde das Potenzial der KE-NBI bei der Diagnostik benigner, dysplastischer und maligner Ver\u00e4nderungen der Stimmlippen untersucht. Au\u00dferdem sollte bei der Detektion von PGV die Aussagekraft des KE-NBI im Vergleich zur Wei\u00dflichtendoskopie (WLE) und zur alleinigen Narrow-Band-Imaging-Endoskopie (NBI) bestimmt werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Dazu befundeten 3\u00a0Untersucher histopathologisch verifizierte benigne, dysplastische oder maligne L\u00e4sionen der Stimmlippen (<jats:italic>n<\/jats:italic>\u202f=\u200960) jeweils im Modus WLE, NBI und KE-NBI. Die L\u00e4sionen wurden auf PGV hin untersucht und ihre Dignit\u00e4t beurteilt. Ermittelt wurden der Anteil der L\u00e4sionen mit detektierten PGV sowie die diagnostische G\u00fcte f\u00fcr jeden Modus und die Interratervariabilit\u00e4t bei der Erkennung von h\u00f6hergradigen Dysplasien und Karzinomen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die KE-NBI zeigte sich den anderen Modi bei der Detektion von PGV und hinsichtlich Sensitivit\u00e4t und Genauigkeit bei der Erkennung von h\u00f6hergradigen Dysplasien und Karzinomen \u00fcberlegen. Die Autoren sahen eine deutliche Assoziation dieser pathologischen Ver\u00e4nderungen mit PGV.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Mittels KE-NBI werden PGV h\u00e4ufiger und zuverl\u00e4ssiger als mit den anderen Methoden erkannt. Die Assoziation dieser Gef\u00e4\u00dfver\u00e4nderungen mit h\u00f6hergradigen Dysplasien und Karzinomen der Stimmlippen wurde best\u00e4tigt. Im Vergleich zu WLE und NBI zeigte sich eine erh\u00f6hte diagnostische G\u00fcte. Somit kann die KE-NBI durch bessere Detektion der PGV die endoskopische Differenzierung zwischen benignen und malignen L\u00e4sionen der Stimmlippen verbessern.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00106-021-01063-8","type":"journal-article","created":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T14:02:47Z","timestamp":1623679367000},"page":"712-718","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Kontaktendoskopie mit Narrow Band Imaging zur Erkennung perpendikul\u00e4rer Gef\u00e4\u00dfver\u00e4nderungen bei benignen L\u00e4sionen, Dysplasien und Karzinomen der Stimmlippen","Contact endoscopy with narrow-band imaging for detection of perpendicular vascular changes in benign, dysplastic, and malignant lesions of the vocal folds"],"prefix":"10.1007","volume":"69","author":[{"given":"L.","family":"Sch\u00f6ninger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Voigt-Zimmermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Kropf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Arens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Davaris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,6,14]]},"reference":[{"key":"1063_CR1","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1177\/000348949510400501","volume":"104","author":"M Andrea","year":"1995","unstructured":"Andrea\u00a0M, Dias\u00a0O, Santos\u00a0A (1995) Contact endoscopy during microlaryngeal surgery: a\u00a0new technique for endoscopic examination of the larynx. 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