**Head and Neck**

[101] Watson, A., Vandekerckhove, P., Lilford, R. Pharmacological adjuvants during infer‐ tility surgery: a systematic review of evidence derived from randomized controlled

[102] Oncel, M., Remzi, F.H., Senagore, A.J., Connor, J.T., Fazio, V.W. Application of Ad‐ con-P or Seprafilm in consecutive laparotomies using a murine model. Am. J. Surg.

[103] Verco, S.J., Peers, E.M., Brown, C.B., Rodgers, K.E., Roda, N., diZerega, G. Develop‐ ment of a novel glucose polymer solution (icodextrin) for adhesion prevention: pre-

[104] diZerega, G.S., Coad, J., Donnez, J. Clinical evaluation of endometriosis and differen‐ tial response to surgical therapy with and without application of Oxiplex/AP\* adhe‐

[105] Pados G, Venetis CA, Almaloglou K, Tarlatzis BC. Prevention of intra-peritoneal ad‐ hesions in gynaecological surgery: theory and evidence. Reproductive BioMedicine

[106] Menzies, D., Pascual, M.H., Walz, M.K., et al. Use of icodextrin 4% solution in the prevention of adhesion formation following general surgery: from the multicentre

trials. Hum. Fertil. 1999; 2: 149–157.

clinical studies. Hum. Reprod. 2000;15: 1764–1772.

sion barrier gel. Fertil. Steril. 2007;87: 485–489.

ARIEL Registry. Ann. R. Coll. Surg. Engl. 2006;88: 375–382.

2004;187: 304–308.

72 Endoscopy

Online. 2010;21: 290– 303.

**Chapter 5**

**Narrow Band Imaging (NBI) — Endoscopic Method for**

The most common head and neck malignancy is squamous cell carcinoma (SCC). It is well recognized that these tumours may arise in multiple sites, either synchronously or metachro‐ nously [1]. The surgical and oncological treatment of large tumours leads to a significant mutilation of the affected individual. The results are not only cosmetic, but also functional defects, such as swallowing, chewing, breathing disorders and voice production deterioration. Early detection of these tumours is therefore one of the most important factors of treatment

Efforts to achieve the earliest detection of malignant disease have led to the development of new endoscopic examination methods. Lesions few millimetres in diameter are in most cases impossible to detect using conventional white light endoscopy. This led to the introduction of special endoscopic methods that allow detection of lesions of millimetre dimensions. New techniques such as autofluorescence [3], contact endoscopy and optical coherence tomography (OCT) [4] are increasingly used in ENT practice. In the last few years, NBI (Narrow Band Imaging) method has been introduced [5]. This diagnostic tool was already proved as a useful screening method in other endoscopic fields (e.g. gastroenterology) [6]. Superficial mucosal lesions that would be missed by regular white light endoscopy, can be identified, in view of their neoangiogenetic pattern of vasculature, using the narrow-band imaging in head and neck

> © 2013 Lukes et al.; licensee InTech. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use,

© 2013 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution,

distribution, and reproduction in any medium, provided the original work is properly cited.

and reproduction in any medium, provided the original work is properly cited.

**Detection of Head and Neck Cancer**

Martin Chovanec, Jaroslav Betka, Eva Foltynova and

Petr Lukes, Michal Zabrodsky, Jan Plzak,

Additional information is available at the end of the chapter

Jan Betka

http://dx.doi.org/10.5772/52738

**1. Introduction**

success [2].

mucosa.
