{Reference Type}: Journal Article
{Title}: Treatment experience with and clinicopathological analysis of vocal fold leukoplakia per appearance classification guidance: a cohort of 1442 patients.
{Author}: Li CJ;Chen M;Chen J;Wu HT;He PJ;Cheng L;
{Journal}: J Laryngol Otol
{Volume}: 138
{Issue}: 4
{Year}: 2024 Apr 15
{Factor}: 2.187
{DOI}: 10.1017/S0022215123001573
{Abstract}: <B>OBJECTIVE: </B>To analyse the comparative clinical outcomes and clinicopathological significance of vocal fold leukoplakia lesions treated by appearance classification and traditional methods.<BR><B>METHODS: </B>A total of 1442 vocal fold leukoplakia patients were enrolled. Group A patients were treated according to appearance classification and Group B patients were treated according to traditional methods.<BR><B>RESULTS: </B>In Group A, 24.4, 14.9 and 60.6 per cent of patients had grade I, II and III dysplasia, respectively. Grade I dysplasia (63.4 per cent) was more than twice as frequent in Group B patients than in Group A patients, while grade II dysplasia (20.4 per cent) and grade III dysplasia (16.2 per cent) were significantly less frequent in Group B patients than in Group A patients (p = 0.000). There was a significant correlation between vocal fold leukoplakia appearance and the degree of dysplasia (p = 0.000). The recurrence and malignant transformation rates (17.6 and 31 per cent, respectively) in Group B were significantly greater than those in Group A (10.8 and 25.9 per cent, respectively) (p = 0.000).<BR><B>CONCLUSIONS: </B>Vocal fold leukoplakia appearance classification is useful for guiding treatment decision-making and could help to improve therapeutic accuracy.