Post-Surgical Non-Invasive Wound Healing Monitoring in Oropharyngeal Mucosa
Anastasia Guryleva
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Search for more papers by this authorAlexander Machikhin
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Search for more papers by this authorYevgeniya Kulikova
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Search for more papers by this authorCorresponding Author
Demid Khokhlov
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Correspondence:
Demid Khokhlov ([email protected])
Search for more papers by this authorAnastasia Zolotukhina
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Search for more papers by this authorAnastasia Guryleva
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Search for more papers by this authorAlexander Machikhin
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Search for more papers by this authorYevgeniya Kulikova
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Search for more papers by this authorCorresponding Author
Demid Khokhlov
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Correspondence:
Demid Khokhlov ([email protected])
Search for more papers by this authorAnastasia Zolotukhina
Scientific and Technological Centre of Unique Instrumentation, Russian Academy of Sciences, Moscow, Russia
Search for more papers by this authorFunding: This work was supported by Ministry of Science and Higher Education of the Russian Federation (project FFNS-2024-0002).
ABSTRACT
Postoperative bleeding is the most significant complication of tonsillectomy. Regular monitoring of post-surgical wound healing in the pharynx is required. For this purpose, we propose endoscope-based non-invasive perfusion mapping and quantification. The combination of imaging photoplethysmography and image processing provides automated wound area selection and microcirculation characterization. In this feasibility study, we demonstrate the first results of the proposed approach to wound monitoring in clinical trial on eight patients after tonsillectomy. Combination of probe-based optical system and image processing algorithms can provide the valuable and consistent data on perfusion distribution. The quantitative microcirculation data obtained 1, 4, and 7 days after surgery are in good agreement with existing monitoring protocols.
Conflicts of Interest
The authors declare no conflicts of interest.
Open Research
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
- 1 A. V. Gurov, A. V. Muzhichkova, and A. A. Kelemetov, “Topical Issues in the Treatment of Chronic Tonsillitis,” Medical Council 6 (2021): 67–73.
- 2
B. W. Neville, D. D. Damm, C. M. Allen, and A. C. Chi, Bacterial Infections, eds. B. W. Neville, D. D. Damm, C. M. Allen, and A. C. Chi, Color Atlas of Oral and Maxillofacial Diseases (Philadelphia, PA: Elsevier, 2019), 109–123.
10.1016/B978-0-323-55225-7.00005-1 Google Scholar
- 3 I. A. Gudima, L. I. Vasil'eva, L. E. Bragina, and I. Suchkov, “Viral-bacterial-fungal Associations in Chronic Tonsillitis in Children,” Zhurnal Mikrobiologii, Epidemiologii, i Immunobiologii 5 (2001): 16–19.
- 4
U. K. Shah, Acute and Chronic Infections of the Oral Cavity and Pharynx, eds. R. F. Wetmore and L. M. Bell, Pediatric Otolaryngology (Philadelphia, PA: Mosby, 2007), 138–150.
10.1016/B978-0-323-04855-2.50015-0 Google Scholar
- 5 M. Alrayah, “The Prevalence and Management of Chronic Tonsillitis: Experience From Secondary Care Hospitals in Rabak City, Sudan,” Cureus 15 (2023): e34914.
- 6
L. A. Baryshevskaya, T. Y. Vladimirova, O. V. Zeleva, and E. V. Koldova, “Chronic Inflammation of the Tonsils Associated With Epstein–Barr Virus,” Science and Innovations in Medicine 3 (2018): 6–10.
10.35693/2500-1388-2018-0-1-6-10 Google Scholar
- 7 D. Ruidera and S. Greaser, “New Evidence in Recurrent Acute Tonsillitis in Adults Shows Benefit of Tonsillectomy Over Antibiotics,” Pharmacy Practice in Focus: Health Systems 12 (2023).
- 8 M. De and S. Anari, “Infections and Foreign Bodies in ENT,” Surgery (Oxford) 36 (2018): 553–559.
- 9 A. Arambula, J. R. Brown, and L. Neff, “Anatomy and Physiology of the Palatine Tonsils, Adenoids, and Lingual Tonsils,” World Journal of Otorhinolalryngology—Head and Neck Surgery 7 (2021): 155–160.
- 10 R. A. McNeill, “A History of Tonsillectomy: Two Millenia of Trauma, Haemorrhage and Controversy,” Ulster Medical Journal 29 (1960): 59–63.
- 11 R. B. Mitchell, S. M. Archer, S. L. Ishman, et al., “Clinical Practice Guideline: Tonsillectomy in Children (Update)—Executive Summary,” Otolaryngology—Head and Neck Surgery 160 (2019): 187–205.
- 12 S. Tzelnick, O. Hilly, S. Vinker, G. Bachar, and A. Mizrachi, “Long-term Outcomes of Tonsillectomy for Recurrent Tonsillitis in Adults,” Laryngoscope 130 (2020): 328–331.
- 13 A. S. Lopatin and N. D. Chuchueva, “Hemorrhage Following Tonsillectomy: Analysis of the Prevalence and Risk Factors,” Vestnik Otorinolaringologii (2013): 71–75.
- 14 A. N. Stevenson, C. M. Myer, M. D. Shuler, and P. S. Singer, “Complications and Legal Outcomes of Tonsillectomy Malpractice Claims,” Laryngoscope 122 (2012): 71–74.
- 15 A. Hackethal, M. Hirschburger, S. Eicker, T. Mücke, C. Lindner, and O. Buchweitz, “Role of Indocyanine Green in Fluorescence Imaging With Near-Infrared Light to Identify Sentinel Lymph Nodes, Lymphatic Vessels and Pathways Prior to Surgery – A Critical Evaluation of Options,” Geburtshilfe und Frauenheilkunde 78 (2018): 54–62.
- 16 D. Liu, X. Zhao, X. Zeng, H. Dan, and Q. Chen, “Non-Invasive Techniques for Detection and Diagnosis of Oral Potentially Malignant Disorders,” Tohoku Journal of Experimental Medicine 238 (2016): 165–177.
- 17 D. H. Kim, S. W. Kim, and S. H. Hwang, “Efficacy of Non-Invasive Diagnostic Methods in the Diagnosis and Screening of Oral Cancer and Precancer,” Brazilian Journal of Otorhinolaryngology 88 (2022): 937–947.
- 18 O. Salehi, V. Kazakova, E. A. Vega, and C. Conrad, “Indocyanine Green Staining for Intraoperative Perfusion Assessment,” Minerva Surgery 76 (2021): 220–228.
- 19 J. East, J. Vleugels, P. Roelandt, et al., “Advanced Endoscopic Imaging: European Society of Gastrointestinal Endoscopy (ESGE) Technology Review,” Endoscopy 48 (2016): 1029–1045.
- 20 P. Fedeli, A. Gasbarrini, and G. Cammarota, “Spectral Endoscopic Imaging: The Multiband System for Enhancing the Endoscopic Surface Visualization,” Journal of Clinical Gastroenterology 45 (2011): 6–15.
- 21 O. Kikuchi, Y. Ezoe, S. Morita, T. Horimatsu, and M. Muto, “Narrow-Band Imaging for the Head and Neck Region and the Upper Gastrointestinal Tract,” Japanese Journal of Clinical Oncology 43 (2013): 458–465.
- 22 D. A. Boas and A. K. Dunn, “Laser Speckle Contrast Imaging in Biomedical Optics,” Journal of Biomedical Optics 15 (2010): 011109.
- 23 W. Heeman, W. Steenbergen, G. van Dam, and E. C. Boerma, “Clinical Applications of Laser Speckle Contrast Imaging: A Review,” Journal of Biomedical Optics 24 (2019): 1–11.
- 24 W. Heeman, A. C. L. Wildeboer, M. Al-Taher, et al., “Experimental Evaluation of Laparoscopic Laser Speckle Contrast Imaging to Visualize Perfusion Deficits During Intestinal Surgery,” Surgical Endoscopy 37 (2023): 950–957.
- 25 Y. Fawzy, S. Lam, and H. Zeng, “Rapid Multispectral Endoscopic Imaging System for Near Real-time Mapping of the Mucosa Blood Supply in the Lung,” Biomedical Optics Express 6 (2015): 2980–2990.
- 26 N. T. Clancy, A. S. Soares, S. Bano, L. B. Lovat, M. Chand, and D. Stoyanov, “Intraoperative Colon Perfusion Assessment Using Multispectral Imaging,” Biomedical Optics Express 12 (2021): 7556–7567.
- 27 M. T. Thomaßen, H. Köhler, A. Pfahl, et al., “In vivo Evaluation of a Hyperspectral Imaging System for Minimally Invasive Surgery (HSI-MIS),” Surgical Endoscopy 37 (2023): 3691–3700.
- 28 V. A. Kashchenko, A. V. Lodygin, K. Y. Krasnoselsky, V. V. Zaytsev, and A. A. Kamshilin, “Intra-abdominal Laparoscopic Assessment of Organs Perfusion Using Imaging Photoplethysmography,” Surgical Endoscopy 37 (2023): 8919–8929.
- 29 A. A. Kamshilin, V. V. Zaytsev, A. V. Lodygin, and V. A. Kashchenko, “Imaging Photoplethysmography as an Easy-to-use Tool for Monitoring Changes in Tissue Blood Perfusion During Abdominal Surgery,” Scientific Reports 12 (2022): 1143.
- 30 S. D. Van Der Stel, M. Lai, H. C. Groen, et al., “Imaging Photoplethysmography for Noninvasive Anastomotic Perfusion Assessment in Intestinal Surgery,” Journal of Surgical Research 283 (2023): 705–712.
- 31 S. M. S. Kazmi, E. Faraji, M. A. Davis, Y.-Y. Huang, X. J. Zhang, and A. K. Dunn, “Flux or Speed? Examining speckle Contrast Imaging of Vascular Flows,” Biomedical Optics Express 6 (2015): 2588–2608.
- 32 C. Linkous, A. D. Pagan, C. Shope, et al., “Applications of Laser Speckle Contrast Imaging Technology in Dermatology,” JID Innovations 3 (2023): 100187.
- 33 Q. Li, X. He, Y. Wang, H. Liu, D. Xu, and F. Guo, “Review of Spectral Imaging Technology in Biomedical Engineering: Achievements and Challenges,” Journal of Biomedical Optics 18 (2013): 100901.
- 34 A. Guryleva, A. Machikhin, V. Svistushkin, A. Toldanov, V. Bukova, and Y. Kulikova, International Conference on Information, Control, and Communication Technologies (ICCT), vol. 1, eds. E. A. Barabanova, K. A. Vytovtov, and N. S. Maltseva (Astrakhan, Russia: 2022), 1–3.
- 35 F. Viallefont-Robinet, D. Helder, R. Fraisse, et al., “Comparison of MTF Measurements Using Edge Method: Towards Reference Data Set,” Optics Express 26 (2018): 33625–33648.
- 36 C.-F. J. Kuo, C.-S. Lin, C.-H. Chuang, C.-S. Lin, F.-S. Chiu, and S.-C. Liu, “Quantitative Morphometric Measurements of the Oropharynx in Obstructive Sleep Apnea Syndrome Using a Laser Depth Measurement Module,” Nature and Science of Sleep 12 (2020): 1181–1190.
- 37
M. W. El-Anwar, R. M. Almolla, and M. A. Mobasher, “Retropalatal and Retroglossal Spaces Evaluation: a CT Study,” Egyptian Journal of Otolaryngology 38 (2022): 125.
10.1186/s43163-022-00314-x Google Scholar
- 38 G. Brigot, E. Colin-Koeniguer, A. Plyer, and F. Janez, “Adaptation and Evaluation of an Optical Flow Method Applied to Coregistration of Forest Remote Sensing Images,” IEEE Journal of Selected Topics in Applied Earth Observations and Remote Sensing 9 (2016): 2923–2939.
- 39 N. Otsu, “A Threshold Selection Method from Gray-Level Histograms,” IEEE Transactions on Systems, Man, and Cybernetics 9 (1979): 62–66.
- 40 Z. Salturk, T. L. Kumral, A. Arslanoglu, et al., “Role of Laryngopharyngeal Reflux in Complications of Tonsillectomy in Pediatric Patients,” Indian Journal of Otolaryngology and Head & Neck Surgery 69 (2017): 392–396.
- 41 N. Bhattacharyya, L. J. Kepnes, and J. Shapiro, “Efficacy and Quality-of-Life Impact of Adult Tonsillectomy,” Archives of Otolaryngology—Head & Neck Surgery 127 (2001): 1347–1350.
- 42 B. W. Pogue, “Perspective on the Optics of Medical Imaging,” Journal of Biomedical Optics 28 (2023): 121208.
- 43 L. A. P. Kohn, J. M. Cheverud, G. Bhatia, P. Commean, K. Smith, and M. W. Vannier, “Anthropometric Optical Surface Imaging System Repeatability, Precision, and Validation,” Annals of Plastic Surgery 34 (1995): 362–371.
- 44 A. M. Bemis, C. G. Pirie, A. J. Lopinto, and L. Maranda, “Reproducibility and Repeatability of Optical Coherence Tomography Imaging of the Optic Nerve Head in Normal Beagle Eyes,” Veterinary Ophthalmology 20 (2017): 480–487.
- 45 H. Neelam, B. Carrie, and V. Ehsan, “Repeatability, Reproducibility, and Accuracy of a Novel Imaging Technique for Measurement of Ocular Axial Length,” Proceedings of SPIE 11317 (2020): 113172D.