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. 2022 Oct;44(10):2248-2256.
doi: 10.1002/hed.27132. Epub 2022 Jul 6.

Voice and communication after open partial horizontal laryngectomies: A cross-sectional outcome study

Marco Fantini  1   2 , Erika Crosetti  3   4 , Nicole Pizzorni  5 , Andrea Elio Sprio  6   7 , Andy Bertolin  8 , Giuseppe Rizzotto  8 , Antonio Schindler  5 , Giovanni Succo  4   9
Affiliations
Free article

Voice and communication after open partial horizontal laryngectomies: A cross-sectional outcome study

Marco Fantini et al. Head Neck. 2022 Oct.
Free article

Abstract

Objective: The present study evaluates voice and communication after open partial horizontal laryngectomies (OPHLs), according to surgery and patient-related variables.

Methods: Fifty-eight patients were included: 18 type I OPHL, 20 type II OPHL and 20 type III OPHL. Acoustic, aerodynamic, endoscopic, perceptual and self-assessment analyses were carried out. Surgery-related variables and patient-related variables were considered for the analysis.

Results: Type I OPHL revealed the best phonatory outcomes. Type II and type III OPHL showed similar and poor results, with a highly deteriorated voice quality. A significant difference in MTP was found for patients who had both arytenoids/cricoarytenoid units preserved. Age and time from surgery showed significant correlations with voice quality after OPHLs.

Conclusions: Voice and communication outcomes after OPHLs are heterogeneous and might be influenced by several factors. Knowing variables with a substantial impact on phonatory outcomes may help clinicians in the preoperative decision-making process and the postoperative rehabilitative program.

Keywords: communication; laryngeal cancer; laryngectomy; voice.

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References

REFERENCES

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