6533b854fe1ef96bd12ae987

RESEARCH PRODUCT

Long-Term Functional Outcome after Unilateral Cordectomy

Astrid SchneiderTodsaporn NakaratAnnerose KeilmannChristiane EngelWolf J. MannUlrike Napiontek

subject

AdultMaleLaser surgerymedicine.medical_specialtyVoice therapymedicine.medical_treatmentVocal CordsPostoperative ComplicationsPatient satisfactionCommunication disorderSurveys and QuestionnairesmedicineHumansSpeechLongitudinal StudiesPhonationVoice Handicap IndexLaryngeal NeoplasmsAgedAged 80 and overHoarsenessbusiness.industryRecovery of FunctionMiddle Agedmedicine.diseaseSurgeryOtorhinolaryngologyPatient SatisfactionLasers GasVoiceCordectomyLaser TherapySingingbusinessFollow-Up Studies

description

<i>Purpose of the Study:</i> Our aim was to longitudinally analyze the vocal outcome after endoscopic CO<sub>2</sub> laser resection of early glottic carcinoma. <i>Procedures:</i> Sixteen patients treated with laser surgery for T1 or T2 tumors of the vocal cords received voice therapy and were examined 1, 2, 3, 4.5, 6 and 12 months postoperatively. Besides videolaryngostroboscopy, each examination included history, phonetogram of the speaking and the singing voice, language-specific hoarseness diagram and a questionnaire (Voice Handicap Index 12 in German). <i>Results:</i> Objective parameters demonstrated a broad variability with a slight tendency of improvement over time. For the maximal phonation time a nearly constant improvement was seen. After an initial improvement deterioration for subjective assessment in the Voice Handicap Index was noted in most patients 3–6 months postoperatively. <i>Conclusions:</i> The functional outcome after cordectomy is variable. <i>Message of the Paper:</i> Discrepancies between objective findings and patient satisfaction over time have to be considered after cordectomy.

yearjournalcountryeditionlanguage
2010-07-14ORL
https://doi.org/10.1159/000322592