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. 2011;73(1):38-46.
doi: 10.1159/000322592. Epub 2010 Dec 9.

Long-term functional outcome after unilateral cordectomy

Annerose Keilmann  1 , Ulrike Napiontek, Christiane Engel, Todsaporn Nakarat, Astrid Schneider, Wolf Mann
Affiliations

Long-term functional outcome after unilateral cordectomy

Annerose Keilmann et al. ORL J Otorhinolaryngol Relat Spec. 2011.

Abstract

Purpose of the study: Our aim was to longitudinally analyze the vocal outcome after endoscopic CO(2) laser resection of early glottic carcinoma.

Procedures: 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).

Results: 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.

Conclusions: The functional outcome after cordectomy is variable. MESSAGE OF THE PAPER: Discrepancies between objective findings and patient satisfaction over time have to be considered after cordectomy.

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