Beyond Region Memory: Local Point Tracking for Vocal Cord Localization in Video Laryngoscopy

Huayu Wang, Gyungmin Ko, Jung Heon Kim, Jia-Xian Jian, Dae Kon Kim +7

Reliable vocal-cord localization in emergency video laryngoscopy remains visually challenging due to rapid tissue deformation, specular highlights, and instrument occlusions. We propose Local Point Tracking (LPT), a robust framework that combines a single-frame detector, local point propagation, and stateless mask refinement. LPT follows a localize first, snap second pipeline. First, a single-frame semantic detector generates sparse anchors, within which LPT initializes local query points (SAM-supported by default, with a regular grid as fallback). A point-propagation module tracks these points through detector-missed frames and recovers temporal bounding boxes from their geometry. Second, because point-derived boxes can be loose around the visible boundary, a box-snap step refines the selected box to the target boundary. This decomposition keeps temporal state in local point coordinates rather than a stateful mask or whole-region representation, while the spatial refinement module handles single-frame boundary precision without feeding mask errors back into temporal memory. Extensive evaluations on two distinct datasets demonstrate that our proposed LPT method achieves strong…