Voice Quality After Anterior Commissure Cordectomy Versus Marginal Cordectomy for cT1 Glottic Carcinoma: A Case-Series.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2024-12-15 DOI:10.1002/ohn.1052

Jerome R Lechien, Robin Baudouin, Marc J Remacle, Lise Crevier-Buchman, Stephane Hans

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引用次数: 0

Abstract

Objectives: To compare the presurgical to postsurgical voice quality (VQ) outcomes of types I, II, III, and VI transoral laser cordectomies (TLC).

Study design: Prospective uncontrolled study.

Setting: Multicenter study.

Methods: Patients treated with TLC for a cT1 glottic squamous cell carcinoma were recruited from 2 European hospitals. The pre- to 3-, 6-, and 12-month post-TLC VQ was investigated with the voice handicap index (VHI), GRBAS, speech rate, maximal phonation time (MPT), and acoustic parameters. VQ was compared between types of TLC (types I, II, III, VI).

Results: Ninety-six patients completed the evaluations (16 females). The TLC consists of type I (N = 30), II (N = 27), III (N = 19), and VI (N = 20), respectively. The mean ages of groups ranged from 55.3 to 65.5 years. The VQ significantly improved from pre- to 3-, and 12-month post-TLC in types I, II, and III TLC groups. Only grade of dysphonia was significantly improved in type VI TLC after 6- and 12-month post-TLC. Type VI TLC reported higher values of F0, breathiness, and percent jitter than types I to III TLC 6- and 12-month after the surgery. Percent jitter, F0, and the breathiness were the voice outcomes that highlight the differences in VQ between TLC groups.

Conclusion: The pre- to 12-month post-TLC evolution of VQ is better in types I-II TLC compared to types III and VI. Type VI TLC reported the worse VQ at baseline and throughout the follow-up.

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cT1 声门癌前会厌切除术与边缘会厌切除术后的语音质量：一个病例系列。

研究目的比较 I、II、III 和 VI 型经口激光脐带切除术（TLC）术前和术后的嗓音质量（VQ）结果：研究设计：前瞻性非对照研究：多中心研究：从两家欧洲医院招募了接受TLC治疗的cT1声门鳞状细胞癌患者。通过嗓音障碍指数（VHI）、GRBAS、语速、最大发音时间（MPT）和声学参数对TLC治疗前、治疗后3个月、6个月和12个月的VQ进行了调查。对不同类型 TLC（I、II、III、VI 型）的 VQ 进行了比较：结果：96 名患者（16 名女性）完成了评估。TLC分别为I型（30人）、II型（27人）、III型（19人）和VI型（20人）。各组的平均年龄从 55.3 岁到 65.5 岁不等。Ⅰ、Ⅱ和Ⅲ型 TLC 组的 VQ 从治疗前到治疗后 3 个月和 12 个月都有明显改善。在治疗后 6 个月和 12 个月，只有 VI 型 TLC 的发音障碍等级有明显改善。与 I 至 III 型 TLC 相比，VI 型 TLC 在术后 6 个月和 12 个月的 F0 值、呼吸感和抖动百分比都更高。抖动百分比、F0和呼吸感是突出显示TLC组之间VQ差异的语音结果：结论：与 III 型和 VI 型 TLC 相比，I-II 型 TLC 术前至术后 12 个月的 VQ 变化更好。六型 TLC 在基线和整个随访期间的嗓音质量都较差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.