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Masahiro Kawaida

Publications and source records attributed to Masahiro Kawaida.

3 recordsLinked to original sources

Electronic videoendoscopic laryngostroboscopy.

Color images obtained using electronic videoendoscopic laryngostroboscopy (EVLS) were presented and the utility of this technique for the diagnosis of dysphonia was discussed in this paper. Stroboscopic evaluations of laryngeal lesions were performed using a rhinolaryngeal electronic videoendoscope system employing a single-plate simultaneous color charge-coupled device (CCD) chip method. Twenty patients underwent electronic videoendoscopic laryngostroboscopy. A Karl Storz laryngostroboscope Pulsar was connected to this system and laryngeal lesions were assessed. The potentialities of laryngostroboscopy using this system were evaluated. Clear stroboscopic images were obtained in all patients. Multiple still images during vocal fold vibration were acquired using an optional function. The laryngostroboscope is not compatible with conventional systems employing a single-plate red, green, and blue (RGB) surface scanning method. However, the system used was successfully connected to a laryngostroboscope. EVLS appears to be a powerful new tool for the diagnosis of dysphonia.

Adult↗

New visualization technique with a three-dimensional video-assisted stereoendoscopic system: application of the BVHIS display method during endolaryngeal surgery.

A three-dimensional video-assisted stereoendoscopic system (3D video system) developed by the Shinko Optical Company, Ltd. (Tokyo, Japan), and referred to as the binocular vision by horizontal image shifting display method (BVHIS display method), has been developed to digitally process ordinary video signals obtained with a video camera connected to a direct videolaryngoscope. The three-dimensional video system provides the surgeon with stereoendoscopic video images and enhances the ability of the surgeon to perform delicate endoscopic procedures. The three-dimensional video-assisted stereoendoscopic laryngosurgical procedure and its underlying principles are described in this paper. A total of 12 patients with laryngeal lesions causing dysphonia underwent three-dimensional video-assisted stereoendoscopic laryngosurgery. Although the video image obtained with the BVHIS display method is only pseudo-three-dimensional, this method enables the surgeon to perceive both depth perception and realism. We describe a surgical procedure using this new visualizing technique and the underlying principles of the technique. Preoperative and postoperative evaluations of the patients' vocal functions are also described. This system is a useful tool for the treatment of laryngeal lesions causing dysphonia.

Adult↗

Digital image processing of laryngeal lesions by electronic videoendoscopy.

OBJECTIVES: To present electronic videoendoscopy of the larynx with digital image processing and to discuss this endoscopic technique from the standpoint of diagnostic usefulness of laryngeal lesions. STUDY DESIGN: Electronic videoendoscopic evaluation of laryngeal lesions with digital image processing. METHODS: Seventy patients underwent electronic videoendoscopy without digital image processing and, subsequently, with the digital image processing function. Of these, 15 patients with white lesion of the vocal fold and laryngeal neoplasms were assessed in the study. Clinical assessments made before enhancement of digital image processing function were compared with those after enhancement in 15 patients. RESULTS: Of the 15 patients observed, the clinical diagnoses of two patients were changed after enhancement. Both patients underwent endolaryngeal microsurgery with histopathological examination of the removed lesions, which confirmed the definitive diagnosis. The clinical diagnoses of both patients after enhancement were compatible with histopathological diagnoses. CONCLUSIONS: The enhanced color images provided by this system are superior in both quality and resolution to those obtained by conventional flexible fiberoptic endoscopy with a video camera. This system should be a valuable tool for the diagnosis of laryngeal lesions.

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