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European Archives of Oto-Rhino-Laryngology

07-05-2024 | Endoscopy | Rhinology

The diagnostic value of image-enhanced endoscopy system in sinonasal inverted papilloma

Authors: Yimin Ren, Gaoli Fang, Kuiji Wang, Bing Yan, Chengshuo Wang

Published in: European Archives of Oto-Rhino-Laryngology

Abstract

Purpose

This study aimed to evaluate the diagnostic value of image-enhanced endoscopy (IEE) in detecting sinonasal inverted papilloma (SNIP).

Methods

Overall, 86 patients with unilateral nasal papillary or lobulated neoplasms were included between July 2018 and June 2019. All patients underwent IEE examinations, and the diagnosis of all neoplasms was confirmed through postoperative pathology. Logistic regression analysis was conducted to screen for independent predictors of various types of vascular patterns of SNIP. Furthermore, a prognostic nomogram was constructed using the independent predictors screened by logistic regression analysis to evaluate its usefulness in distinguishing SNIP from nasal polyp (NP) and papillary mucosa folds (PMF).

Results

In total, 86 consecutive cases were observed, including 37 with SNIP, 40 with NP, and 9 with PMF. Logistic regression analysis showed that spot, corkscrew, and multilayered vascular patterns were independent predictors of SNIP diagnosis. Furthermore, a nomogram comprising the three independent risk factors was constructed with scores of 5, 2, and 3. The area under the receiver operating characteristic curve for predicting SNIP was 0.954, 0.66, 0.71, and 0.76 for the nomogram model, spot vascular pattern, corkscrew vascular pattern, and multilayered vascular pattern, respectively.

Conclusion

The nomogram model based on spot, corkscrew, and multilayered vascular patterns in SNIP observed using IEE can be a useful diagnostic tool for predicting and distinguishing between NP and PMF.

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Title: The diagnostic value of image-enhanced endoscopy system in sinonasal inverted papilloma
Authors: Yimin Ren
Gaoli Fang
Kuiji Wang
Bing Yan
Chengshuo Wang
Publication date: 07-05-2024
Publisher: Springer Berlin Heidelberg
Keyword: Endoscopy
Published in: European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-024-08707-9

At a glance: The STEP trials

Springer Medicine

The diagnostic value of image-enhanced endoscopy system in sinonasal inverted papilloma

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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