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State of the art laryngeal imaging: research and clinical implications

Deliyski, Dimitar Da,b,c; Hillman, Robert Ed,e

Current Opinion in Otolaryngology & Head & Neck Surgery: June 2010 - Volume 18 - Issue 3 - p 147–152
doi: 10.1097/MOO.0b013e3283395dd4
Speech therapy and rehabilitation: Edited by Bernice K. Klaben

Purpose of review: This study provides a review of the latest advances in videostroboscopy, videokymography and high-speed videoendoscopy, and outlines the development of new laryngeal imaging modalities based on optical coherence tomography, laser-depth kymography, and magnetic resonance imaging (MRI), published in the past 2 years.

Recent findings: Videostroboscopy and videokymography: Image quality has improved and several image processing and measurement techniques have been published.

High-speed videoendoscopy: Significant progress has been made through increased sensitivity and frame rates of the cameras, and the development of facilitative playbacks, phonovibrography and several image segmentation and measurement methods. Clinical evidence was presented through applications in phonosurgery, comparisons with videostroboscopy, normative data, and better understanding of voice production.

Optical coherence tomography: Latest developments allow the capture of dynamic high-resolution cross-sectional images of the vibrating vocal fold mucosa during phonation.

Depth kymography: New laser technique allowing recording of the vertical movements of the vocal folds during phonation in calibrated spatial values.

Laryngeal magnetic resonance: New methods allow high-resolution imaging of laryngeal tissue microstructure, or measuring of dynamic laryngeal structures during phonation.

Summary: The endoscopic laryngeal imaging techniques have made significant advances increasing their clinical value, whereas techniques providing new types of potentially clinically relevant information have emerged.

aDepartment of Communication Sciences and Disorders, USA

bDepartment of Computer Science and Engineering, USA

cInterdisciplinary Mathematics Institute, University of South Carolina, Columbia, South Carolina, USA

dCenter for Laryngeal Surgery and Voice Rehabilitation, Massachusetts General Hospital, USA

eDepartments of Surgery and Health Sciences and Technology, Harvard Medical School, Boston, Massachusetts, USA

Correspondence to Dimitar Deliyski, PhD, University of South Carolina, Communication Sciences and Disorders, 1621 Greene Street, 6th floor, Columbia, SC 29208, USA Tel: +1 803 777 2245; fax: +1 803 777 3081; e-mail: ddeliyski@sc.edu

© 2010 Lippincott Williams & Wilkins, Inc.