Laser Surgery for T2 Glottic Carcinoma

2002 ◽  
Vol 12 (1) ◽  
pp. 36-41 ◽  
Author(s):  
J.A. Werner ◽  
A.A. Dünne ◽  
B.J. Folz ◽  
B.M. Lippert
Keyword(s):  
Laser Surgery ◽  
Glottic Carcinoma

S179 – Voice Self-evaluation after Treatment for T1 Glottic Cancer

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P136-P136
Author(s):  
Faustino Nunez ◽  
Maria Jesus Caminero ◽  
Jose-Luis Llorente-Pendas ◽  
Carlos Suarez-Nieto
Keyword(s):  
Laser Surgery ◽  
Voice Quality ◽  
Well Being ◽  
Voice Handicap Index ◽  
Glottic Cancer ◽  
Glottic Carcinoma ◽  
Subjective Analysis ◽  
Maximum Phonation Time ◽  
Self Evaluation ◽  
The Voice

Objectives 1) To present the objective and subjective analysis of voice quality following treatment of an early epidermoid glottic carcinoma. 2) Results from the objective evaluation of the voice, along with the self-evaluation of voice quality quantified using the Voice Handicap Index of a group of patients treated with endoscopic laser surgery, are compared with patients treated with radiotherapy. Methods We performed an objective voice evaluation, as well as a physical, emotional, and functional well-being assessment of 19 patients treated with laser surgery and 18 patients treated with radiotherapy. The data obtained was gathered in the statistical database SPSS 12.0. The statistical analysis used was the “Student t test” in order to compare averages and the Chi-squared test for comparing proportions. The statistical differences were considered significant when p was lower than 0.05. Results Voice quality is affected both by surgery and radiotherapy. Voice parameters only show differences in the maximum phonation time between both treatments (p < 0,005). Patients Self-Perception Analysis (Voice Handicap Index) Upon completing the comparison between the two groups, the statistical difference is significant, in favor of the radiotherapy patients in functional and emotional ratings, as well as the global scores (p < 0,005). No significant differences were found in the physical scales. Conclusions There is a reduced impact in patient's perception of voice quality after radiotherapy, despite no significant differences in vocal quality between radiotherapy and laser cordectomy.

Predictive Factors of Carcinological Outcomes for Glottic Cancer Treated With Transoral Laser Cordectomy

2020 ◽  
Vol 2 (1) ◽  
pp. 01-04
Author(s):  
ALJ zineb
Keyword(s):  
Predictive Factors ◽  
Laser Surgery ◽  
Local Control Rate ◽  
Glottic Cancer ◽  
Glottic Carcinoma ◽  
Relapse Free Survival ◽  
Free Survival ◽  
Early Glottic Cancer ◽  
Transoral Laser Surgery ◽  
Preservation Rate

Tran’s oral laser surgery is at the forefront of the therapeutic arsenal of epidermoid glottic cancer, but its indications for certain local extensions are controversial. We have analyzed through a retrospective study of 37 patients with T1 or T2 epidermoid glottic carcinoma, treated with transoral laser surgery, the post-surgical outcomes regarding the relapse-free survival, local control rate, laryngeal preservation rate and overall survival, correlated to the initial local extension. This study aimed at clarifying further the clinical behavior of early glottic cancer following transoral laser surgery and to determine, using retrospective analysis, and the predictive factors of carcinological outcomes.

scholarly journals Voice and Quality-of-Life Outcomes of Diode Laser for Tis–T1a Glottic Cancer

2019 ◽  
Vol 99 (4) ◽  
pp. 229-234 ◽  
Author(s):  
Ziya Şencan ◽  
Ela Cömert ◽  
Ümit Tunçel ◽  
Caner Kılıç
Keyword(s):  
Quality Of Life ◽  
Diode Laser ◽  
Laser Surgery ◽  
Glottic Cancer ◽  
Glottic Carcinoma ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
The Voice ◽  
Diode Laser Surgery

The aim of this prospective study was to analyze the voice and quality-of-life outcomes of microscopic diode laser surgery (MDLS). The study was conducted on a series of 46 patients with Tis–T1a glottic carcinoma treated with microscopic endolaryngeal diode laser surgery. Patients were asked to complete the Voice Handicap Index and quality-of-life questionnaires of the European Organization for Research and Treatment of Cancer. When comparing the pre- and postoperative scores, there were significant difference on the physical scores ( P = .014) of the patients who underwent type III cordectomy and functional ( P = .022), emotional ( P = .002), and overall scores ( P = .005) of the patients who underwent type IV cordectomy, in the direction of better quality of voice after MDLS. The postoperative functional, physical, emotional, and overall scores of groups were significantly increased with the extension of resection.

Surgical Voice Rehabilitation after Laser Surgery for Glottic Carcinoma

2002 ◽  
Vol 111 (6) ◽  
pp. 493-499 ◽  
Author(s):  
Christian Sittel ◽  
Patrick Zorowka ◽  
Gerhard Friedrich ◽  
Hans-Edmund Eckel
Keyword(s):  
Laser Surgery ◽  
Thyroid Cartilage ◽  
Voice Quality ◽  
Scar Tissue ◽  
Voice Rehabilitation ◽  
Special Technique ◽  
Glottic Carcinoma ◽  
Vocal Rehabilitation ◽  
Medialization Thyroplasty ◽  
Patient’S Perception

Transoral laser surgery today is the mainstay of treatment for T1 and T2 glottic carcinoma. The vocal ability remains sufficient in the majority of patients. However, in some cases, a significant glottic gap may persist, leading to poor voice quality. We report a special technique of medialization thyroplasty using autologous cartilage specifically adapted for vocal rehabilitation after laser resection. Six patients with a significant glottic gap following laser surgery were treated. For vocal rehabilitation, a special medialization technique was performed. The superior rim of the thyroid cartilage of the resected side was exposed. A 1 × 2-cm piece of cartilage was harvested and reimplanted into a subperichondrial pouch created on the inner side of the thyroid cartilage. When phonation was optimal, this cartilaginous strut was sutured and/or glued in place. In all 6 cases, the vocal function improved significantly. The dysphonia index (0 = normal, 3 = aphonia), which includes objective parameters as well as expert voice ratings and the patient's perception, increased by 1.1 on average (range, 0.4 to 1.6). The results have been lasting. The established medialization techniques are of limited value in a larynx scarred by laser surgery. Injection augmentation is often futile because the tight scar tissue does not lend itself to augmentation. Implantation of nonorganic material may cause problems if revision surgery for tumor recurrence should become necessary or if the implant protrudes into the scarred endolarynx. The technique reported avoids these pitfalls and leads to voice quality improvement comparable to that of established medialization procedures.

Transoral laser surgery for early glottic carcinoma

2000 ◽  
Vol 257 (4) ◽  
pp. 221-226 ◽  
Author(s):  
H. E. Eckel ◽  
W. Thumfart ◽  
Markus Jungehülsing ◽  
Christian Sittel ◽  
Eberhard Stennert
Keyword(s):  
Laser Surgery ◽  
Glottic Carcinoma ◽  
Transoral Laser Surgery ◽  
Early Glottic Carcinoma
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