Longitudinal Voice Outcomes Following Advanced CO2 Laser Cordectomy for Glottic Cancer

Journal of Voice : Official Journal of the Voice Foundation
Abie H MendelsohnM Remacle

Abstract

CO2 laser cordectomy for glottic carcinoma offers excellent oncologic control on a per stage basis as compared with primary radiotherapy. We aim to further investigate the fluctuations of postoperative vocal outcomes following extended laser cordectomy for glottic cancer. Single center retrospective cohort study. Eleven patients with glottic squamous cell carcinoma (SCC) who received CO2 laser cordectomy European Laryngological Society type III-IV with complete datasets at preoperative, immediate postoperative (within 4 months), and delayed (greater than 6 months) time points were included. All patients (n = 11) received cordectomy as their primary treatment. Tumor stage was divided evenly between T1 and T2. One patient was referred for post-cordectomy thyroplasty. Mean Voice Handicap Index (VHI) scores increased in the immediate postoperative period (43.3-46.2) but did not reach significance (P > 0.05). Delayed postoperative VHI (23.3) demonstrated substantial improvement from both pre- and immediate postoperative levels (P = 0.047). Objective voice rating significantly declined initially (P = 0.03; Grade, P = 0.01; Breathiness) and recovered to similar preoperative levels. Maximum phonation time (MPT) showed substantial decre...Continue Reading

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Citations

Nov 30, 2016·CA: a Cancer Journal for Clinicians·Conor E SteuerNabil F Saba
Mar 10, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Andrew J KinshuckTerry M Jones
Feb 28, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Martine HendriksmaElisabeth V Sjögren
Apr 4, 2017·Current Otorhinolaryngology Reports·E V Sjögren

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