{"title":"根据欧洲喉科学会的声门切除术类型分类进行二氧化碳经口激光显微手术治疗声门癌后的嗓音效果 - 系统性回顾。","authors":"","doi":"10.1016/j.jvoice.2022.03.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p><span>Voice outcome after carbon dioxide transoral laser microsurgery (CO</span><sub>2</sub><span>TOLMS) for glottic cancer<span><span> is of prime importance. However, a comprehensive overview according to the European Laryngological Society (ELS) classification of cordectomies is still lacking. The aim of this </span>systematic review is to summarize data on voice outcome associated with individual types of ELS glottic cordectomy after CO</span></span><sub>2</sub>TOLMS.</p></div><div><h3>Materials and Methods</h3><p>A systematic review of the literature was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. The initial search identified 936 records of which 25 publications were then included. Voice outcome data (Voice Handicap Index [VHI] version 30, grade of dysphonia<span> [G] and maximum phonation time [MPT]) were extracted per resection type. Weighted averages were calculated.</span></p></div><div><h3>Results</h3><p>Data show a gradual increase in the VHI scores although they were still similar for all cordectomy types (range 14.2 to 21.5). The grade of dysphonia showed a gradual increase with increasing resection depth (range 1.0 to 1.9). There was a gradual decrease in the MPT (range 15.2 to 7.2).</p></div><div><h3>Conclusion</h3><p>Voice outcome is related to cordectomy type with mild dysphonia characterizing ELS type I, II and III cordectomies, while more extended cordectomies (ELS type IV, V and VI) result in moderate dysphonia and shortness of breath during phonation. The voice handicap experienced by patients is limited even in the more extended cordectomies</p></div>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":"38 5","pages":"Pages 1227-1236"},"PeriodicalIF":2.5000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Voice Outcome After Carbon Dioxide Transoral Laser Microsurgery for Glottic Cancer According to the European Laryngological Society Classification of Cordectomy Types – A Systematic Review\",\"authors\":\"\",\"doi\":\"10.1016/j.jvoice.2022.03.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p><span>Voice outcome after carbon dioxide transoral laser microsurgery (CO</span><sub>2</sub><span>TOLMS) for glottic cancer<span><span> is of prime importance. However, a comprehensive overview according to the European Laryngological Society (ELS) classification of cordectomies is still lacking. The aim of this </span>systematic review is to summarize data on voice outcome associated with individual types of ELS glottic cordectomy after CO</span></span><sub>2</sub>TOLMS.</p></div><div><h3>Materials and Methods</h3><p>A systematic review of the literature was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. The initial search identified 936 records of which 25 publications were then included. Voice outcome data (Voice Handicap Index [VHI] version 30, grade of dysphonia<span> [G] and maximum phonation time [MPT]) were extracted per resection type. Weighted averages were calculated.</span></p></div><div><h3>Results</h3><p>Data show a gradual increase in the VHI scores although they were still similar for all cordectomy types (range 14.2 to 21.5). The grade of dysphonia showed a gradual increase with increasing resection depth (range 1.0 to 1.9). There was a gradual decrease in the MPT (range 15.2 to 7.2).</p></div><div><h3>Conclusion</h3><p>Voice outcome is related to cordectomy type with mild dysphonia characterizing ELS type I, II and III cordectomies, while more extended cordectomies (ELS type IV, V and VI) result in moderate dysphonia and shortness of breath during phonation. The voice handicap experienced by patients is limited even in the more extended cordectomies</p></div>\",\"PeriodicalId\":49954,\"journal\":{\"name\":\"Journal of Voice\",\"volume\":\"38 5\",\"pages\":\"Pages 1227-1236\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Voice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0892199722000698\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Voice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0892199722000698","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：二氧化碳经口激光显微手术（CO2TOLMS）治疗声门癌后的嗓音效果至关重要。然而，目前仍缺乏根据欧洲喉科学会（ELS）对声门切除术分类的全面概述。本系统性综述的目的是总结与 CO2TOLMS 术后 ELS 声门心切术不同类型相关的嗓音效果数据：按照《系统综述和荟萃分析首选报告项目》（PRISMA）声明对文献进行了系统综述。初步检索发现了 936 条记录，随后纳入了 25 篇出版物。按切除类型提取嗓音结果数据（嗓音障碍指数[VHI]30版、发音障碍等级[G]和最大发音时间[MPT]）。计算加权平均值：数据显示，尽管所有脐带切除术类型的 VHI 分数仍然相似（范围为 14.2 至 21.5），但 VHI 分数逐渐增加。随着切除深度的增加，发音障碍等级也逐渐增加（范围为 1.0 至 1.9）。结论：结论：嗓音效果与脐带切除术类型有关，ELS I、II 和 III 型脐带切除术会导致轻度发音障碍，而更大范围的脐带切除术（ELS IV、V 和 VI 型）会导致中度发音障碍和发音时气短。即使是更大范围的脐带切除术，患者的嗓音障碍也是有限的。
Voice Outcome After Carbon Dioxide Transoral Laser Microsurgery for Glottic Cancer According to the European Laryngological Society Classification of Cordectomy Types – A Systematic Review
Background
Voice outcome after carbon dioxide transoral laser microsurgery (CO2TOLMS) for glottic cancer is of prime importance. However, a comprehensive overview according to the European Laryngological Society (ELS) classification of cordectomies is still lacking. The aim of this systematic review is to summarize data on voice outcome associated with individual types of ELS glottic cordectomy after CO2TOLMS.
Materials and Methods
A systematic review of the literature was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. The initial search identified 936 records of which 25 publications were then included. Voice outcome data (Voice Handicap Index [VHI] version 30, grade of dysphonia [G] and maximum phonation time [MPT]) were extracted per resection type. Weighted averages were calculated.
Results
Data show a gradual increase in the VHI scores although they were still similar for all cordectomy types (range 14.2 to 21.5). The grade of dysphonia showed a gradual increase with increasing resection depth (range 1.0 to 1.9). There was a gradual decrease in the MPT (range 15.2 to 7.2).
Conclusion
Voice outcome is related to cordectomy type with mild dysphonia characterizing ELS type I, II and III cordectomies, while more extended cordectomies (ELS type IV, V and VI) result in moderate dysphonia and shortness of breath during phonation. The voice handicap experienced by patients is limited even in the more extended cordectomies
期刊介绍：
The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.
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