Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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Vocal Fold Leukoplakia: Updates in Diagnosis and Management

성대 백반증의 진단과 치료에 대한 최신 지견

  • Ji, Jeong-Yeon (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine) ;
  • Kwon, Tack-Kyun (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine)
  • 지정연 (서울대학교 의과대학 이비인후과학교실) ;
  • 권택균 (서울대학교 의과대학 이비인후과학교실)
  • Received : 2022.02.25
  • Accepted : 2022.04.12
  • Published : 2022.04.30
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Abstract

Vocal fold leukoplakia poses a challenge to otolaryngologists due to its various spectrum of pathologic diagnosis. The degree of dysplasia is associated with malignancy risk and the new 2017 WHO classification system changed from the 3-tier system to a 2-tier system consisting of low and high grades. Infections including candidiasis, cryptococcosis, and tuberculosis should also be included in the differential diagnosis. Efforts have been made to evaluate risks using endoscopic technologies such as narrow band imaging, and surgery is essential for histopathological diagnosis. Regarding management, it is important to make an accurate diagnosis and find a balance between oncologic safety and functional outcome.

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References

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