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UID:pretalx-ifos2026-USVYZE@sciencenext.org
DTSTART;TZID=EET:20260910T080000
DTEND;TZID=EET:20260910T083000
DESCRIPTION:<p style="margin-left: 0px!important\;">Background and Rational
 e:</p><p style="margin-left: 0px!important\;">High-definition white light 
 endoscopy (WLE) remains the standard-of-care for evaluating early laryngea
 l lesions\, providing high-resolution surface and color information. Howev
 er\, WLE has well-recognized limitations. Early dysplasia may lack clear s
 urface changes\, while benign inflammatory lesions can mimic malignancy\, 
 resulting in sensitivity values as low as 51% in some studies.</p><p style
 ="margin-left: 0px!important\;">The quintessential clinical dilemma is voc
 al fold leukoplakia—a descriptive term encompassing a wide histopatholog
 ical spectrum\, from benign hyperkeratosis to invasive squamous cell carci
 noma (Piazza et al.\, 2010). Because WLE cannot reliably predict histopath
 ological severity\, management remains highly controversial. Some clinicia
 ns advocate routine surgical biopsy due to the risk of occult carcinoma\, 
 while others support conservative observation in low-risk cases (Peretti e
 t al.\, 2017). This uncertainty results in a significant healthcare burden
  driven by repeated surveillance\, unnecessary biopsies\, and the risk of 
 delayed diagnosis.</p><p style="margin-left: 0px!important\;">Role of Narr
 ow Band Imaging (NBI):</p><p style="margin-left: 0px!important\;">NBI has 
 emerged as a critical adjunct by enhancing the visualization of intraepith
 elial papillary capillary loops (IPCLs)\, thereby improving the detection 
 of neoplastic vascular patterns (Piazza and Peretti\, 2012). Recent litera
 ture demonstrates a strong correlation between NBI vascular patterns and h
 istopathological outcomes\, improving diagnostic precision and aiding in t
 he prediction of malignant transformation in leukoplakia (Lin et al.\, 202
 0\; Pietruszewska et al.\, 2021).</p><p style="margin-left: 0px!important\
 ;">Despite its growing acceptance\, NBI is not a panacea. It remains highl
 y dependent on operator expertise and is subject to diagnostic pitfalls\, 
 particularly in post-radiotherapy mucosa and lesions with deep submucosal 
 extension.</p>
DTSTAMP:20260618T223233Z
LOCATION:Phoniatrics 3
SUMMARY:Beyond White Light: The Promise\, Pitfalls\, and Future of NBI in E
 arly Laryngeal Cancer Detection - Hazem Saleh\, Christoph Arens\, Wioletta
  Pietruszewska\, Petr	Lukes
URL:https://sciencenext.org/ifos2026/talk/USVYZE/
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