Literature DB >> 24222186

Reliability of laryngostroboscopic evaluation on lesion size and glottal configuration: a revisit.

Edwin M L Yiu1, Vivian C Y Lau, Estella P M Ma, Karen M K Chan, Elizabeth Barrett.   

Abstract

OBJECTIVES/HYPOTHESIS: This study investigated the inter-rater and intrarater reliability of four basic visual perceptual parameters (lesion size rating and glottal configuration) in laryngostroboscopic evaluation. STUDY
DESIGN: Cohort Study.
METHODS: Two hundred fifty-five laryngostroboscopic video samples were evaluated by three raters on four measurements: 1) mass lesion size rating, 2) amplitude of vocal fold vibration, 3) supraglottic activity, and 4) shape of the glottal closure using the modified Stroboscopy Examination Rating Form.
RESULTS: Good inter- and intrarater reliability were found in rating the lesion size (0.75-0.81, P=.001), anteroposterior supraglottic activity (0.64, P=.001), and glottal closure (0.65, P=.001). Inter-rater reliability in evaluating the mediolateral supraglottic activity and the amplitude of vocal fold vibration were low to moderate (0.50 and 0.46, respectively, P=.001), whereas the intrarater reliability was more variable (0.2-0.70).
CONCLUSIONS: The findings indicated that the evaluation of static structures like lesion size rating, the anteroposterior supraglottic compression, and the glottal closure is a relatively reliable method. The evaluation of dynamic structures, such as the vocal fold vibratory amplitude measure was, however, found to be of low reliability. LEVEL OF EVIDENCE: NA.
© 2013 The American Laryngological, Rhinological and Otological Society, Inc.

Entities:  

Keywords:  Endoscopic ratings; laryngoscopy

Mesh:

Year:  2013        PMID: 24222186     DOI: 10.1002/lary.24521

Source DB:  PubMed          Journal:  Laryngoscope        ISSN: 0023-852X            Impact factor:   3.325


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