To determine the diagnostic accuracy of fiber-optic laryngoscopy in suspected Carcinoma Larynx patients.

Authors

  • Dileep Kumar PUMHS, Nawabshah.
  • Muhammad Iqbal Rao PUMHSW, Nawabshah.
  • Amrat Kumar Isra University Hyderabad.
  • Salman Ahmed Dow International Medical College (DUHS).
  • Ishfaque Ahmed Bilawal Medical Hospital, Kotri. LUMHS, Jamshoro.
  • Ghullam Shabir Ghulam Muhammad Mahar Medical College Sukker.

DOI:

https://doi.org/10.29309/TPMJ/2023.30.01.7161

Keywords:

Direct Laryngoscopy, Fiber-optic Laryngoscopy, Larynx Ca

Abstract

Objective: To determine diagnostic accuracy of fiber-optic laryngoscopy in suspected Carcinoma Larynx patients. Study Design: Cross-sectional study. Setting: Department of Ear Nose and throat at People’s Medical College hospital Nawabshah, Sindh. Period: 1st July 2021 to 31st December 2021. Material & Methods: The sample size of the study was 176. The inclusion criteria involved age >20- 60 years, either gender, patients presenting with clinical symptoms of hoarseness of voice, with or without difficulty in swallowing, persistent cough, weight loss for one month, visiting outpatient department. Patients with bleeding disorders were excluded. Results: Out of 176 patients included in the study the mean age of the patients was 36.23± 3.7 years. Mostly the age range of the patients involved 30-35 yrs., n=76(43.2%), the male to female ratio was 1.2:1 (n=98:78) (55.7%: 44.3%). The sensitivity was 89.2%, the specificity was 78.3%, positive predictive value was 70.7%, negative predictive value was 92.5%, diagnostic accuracy was 82.3%. Conclusion: Our study showed that all patients with high suspicion should have undergone diagnostic testing with flexible as well as direct laryngoscopy to diagnose laryngeal cancers at early stage, so that patients benefit with early treatment with high cure rates.

Author Biographies

Dileep Kumar, PUMHS, Nawabshah.

MBBS, DLO, FCPS, Assistant Professor ENT, 

Muhammad Iqbal Rao, PUMHSW, Nawabshah.

MBBS, DLO, MS, Associate Professor ENT, 

Amrat Kumar, Isra University Hyderabad.

MBBS, MS, Assistant Professor ENT, 

Salman Ahmed, Dow International Medical College (DUHS).

MBBS, FCPS, Assistant Professor ENT, 

Ishfaque Ahmed, Bilawal Medical Hospital, Kotri. LUMHS, Jamshoro.

MBBS, FCPS, Assistant Professor ENT, 

Ghullam Shabir, Ghulam Muhammad Mahar Medical College Sukker.

MBBS, DLO, MS, Assistant Professor ENT, 

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Published

2023-01-01