Voice outcome after unilateral ELS type III or bilateral type II resections for T1-T2 glottic carcinoma: Results after 1 year

被引：9
作者：
van Loon, Yda [1 ]
Hendriksma, Martine [1 ]
Heijnen, Bas J. [1 ]
van de Kamp, Vivienne A. H. [1 ]
Hakkesteegt, Marieke M. [2 ]
Bohringer, Stefan [3 ]
Langeveld, Ton P. M. [1 ]
de Jong, M. A. [4 ]
Klop, W. Martin C. [5 ]
de Jong, Robert J. Baatenburg [2 ]
Sjogren, Elisabeth V. [1 ]
机构：
[1] Leiden Univ, Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Leiden, Netherlands
[2] Erasmus MC Canc Inst, Dept Otorhinolaryngol Head & Neck Surg, Rotterdam, Netherlands
[3] Leiden Univ, Dept Biomed Data Sci, Med Ctr, Leiden, Netherlands
[4] Leiden Univ, Dept Radiotherapy, Med Ctr, Leiden, Netherlands
[5] Antoni van Leeuwenhoek, Netherlands Canc Inst, Dept Head & Neck Surg, Amsterdam, Netherlands
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2019年 / 41卷 / 06期
关键词：
anterior commissure involvement; early glottic cancer; laser surgery; TLM; voice outcome; TRANSORAL LASER MICROSURGERY; QUALITY-OF-LIFE; CO2-LASER CORDECTOMY; FUNCTIONAL OUTCOMES; RADIOTHERAPY; CANCER; SURGERY; T1; INDEX; RATIO;
D O I：
10.1002/hed.25582
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background Voice outcome was assessed in patients with extended T1 and limited T2 glottic carcinoma, treated with a unilateral type III or a bilateral type II resection according to the European Laryngological Society (ELS) classification. Methods Objective evaluation (acoustic and aerodynamic parameters), perceptual evaluation (GRBAS), and patients' self-assessment (voice handicap index [VHI]) were performed before and 1 year after treatment. Results were evaluated according to ELS resection type and the involvement of the anterior commissure. Results The majority of voice parameters in all resection subgroups showed an improvement of the mean score 1 year postoperatively. Grade of dysphonia varied between 1.15 and 1.66 postoperatively and VHI score varied from 23.3 to 24.5. Conclusion Voice outcome after ELS unilateral type III or a bilateral type II resection for extended T1 and limited T2 glottic carcinoma is good with mild to very moderate perceptive dysphonia and low self-reported voice impairment.
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页码：1638 / 1647
页数：10
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