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Multicenter Study
. 2019 Jun;41(6):1638-1647.
doi: 10.1002/hed.25582. Epub 2019 Jan 16.

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

Yda van Loon  1 , Martine Hendriksma  1 , Bas J Heijnen  1 , Vivienne A H van de Kamp  1 , Marieke M Hakkesteegt  2 , Stefan Böhringer  3 , Ton P M Langeveld  1 , M A de Jong  4 , W Martin C Klop  5 , Robert J Baatenburg de Jong  2 , Elisabeth V Sjögren  1
Affiliations
Multicenter Study

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

Yda van Loon et al. Head Neck. 2019 Jun.

Abstract

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.

Keywords: TLM; anterior commissure involvement; early glottic cancer; laser surgery; voice outcome.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram
Figure 2
Figure 2
Distribution of the grade according to the type of resection
Figure 3
Figure 3
Distribution of the voice handicap index (VHI) according to the type of resection
See this image and copyright information in PMC

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