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Narrow band imaging of vocal cord leukoplakia flexible transnasal videolaryngoscopy

last modified on: Mon, 12/11/2023 - 13:52

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return to: Laryngeal leukoplakia white plaques on vocal cords

see also: Esophagoscopy with narrow band imaging (NBI) for Reflux Esophagitis

Pathology showed: Focal mild dysplasia at anterolateral margin with associated acanthosis, hyperkeratosis, and acute and chronic inflammation.

Biopsy of irregular GE junction showed Barrett's metaplasia without dysplasia.

Preoperative Exam in clinic with transnasal high definition videostroboscopy with narrow band imaging


High definition standard light

High definition narrow band imaging

High definition with narrow band imaging (NBI)


High definition standard light


Intraoperative resection left vocal fold leukoplakia


Histology of left vocal cord resection

This mucosa shows budding along the mucosa/submucosal junction with mild cytologic atypia and nuclear hyperchromatism confined to the basal third warranting a diagnosis of mild dysplasia.

In contrast to the prior photomicrograph, this portion of the mucosa shows a densely keratotic surface without significant cytologic atypia and a regular mucosal/submucosal junction.