Clinical implementation of laryngeal high-speed videoendoscopy: Challenges and evolution
Clinical implementation of laryngeal high-speed videoendoscopy: Challenges and evolution
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DOI：
10.1159/000111802
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发表时间：
2008-01-01
影响因子：
1
通讯作者：
Hillman, Robert E.
中科院分区：
文献类型：
--
作者：
Deliyski, Dimitar D.;Petrushev, Pencho P.;Hillman, Robert E.
高速视频内窥镜（HSV）捕捉声带的真实周期内振动行为，这允许克服视频频闪镜检查的局限性，以获得更准确的客观量化方法。然而，商业HSV系统尚未获得广泛的临床采用，因为仍然存在技术和方法上的限制，以及相关的缺乏关于HSV的有效性、实用性和临床相关性的信息。本文的目的是总结我们所面临的实践，技术和方法上的挑战，描述我们所取得的进展，并分享我们目前对将HSV发展成为一个强大工具的必要步骤的看法。该工具将进一步深入了解喉部发声的生物力学，并能够更准确地对嗓音疾病的病理生理学进行功能评估，从而改进声带病理学的诊断和管理。本文的原始贡献是我们的彩色高分辨率HSV集成的描述，促进回放和HSV动态分割的方法，以及在phonomicrosurgery中实施HSV的持续努力，以及HSV临床实施的挑战和前景的分析，另外通过参考以前报告的数据得到支持。版权所有（c）2007 S. Karger AG，巴塞尔。
High-speed videoendoscopy (HSV) captures the true intra-cycle vibratory behavior of the vocal folds, which allows for overcoming the limitations of videostroboscopy for more accurate objective quantification methods. However, the commercial HSV systems have not gained widespread clinical adoption because of remaining technical and methodological limitations and an associated lack of information regarding the validity, practicality, and clinical relevance of HSV. The purpose of this article is to summarize the practical, technological and methodological challenges we have faced, to delineate the advances we have made, and to share our current vision of the necessary steps towards developing HSV into a robust tool. This tool will provide further insights into the biomechanics of laryngeal sound production, as well as enable more accurate functional assessment of the pathophysiology of voice disorders leading to refinements in the diagnosis and management of vocal fold pathology. The original contributions of this paper are the descriptions of our color high-resolution HSV integration, the methods for facilitative playback and HSV dynamic segmentation, and the ongoing efforts for implementing HSV in phonomicrosurgery, as well as the analysis of the challenges and prospects for the clinical implementation of HSV, additionally supported by references to previously reported data. Copyright (c) 2007 S. Karger AG, Basel.