scholarly journals The voice quality after laser surgery versus radiotherapy of T1a glottic carcinoma: systematic review and meta-analysis

2017 ◽  
Vol Volume 10 ◽  
pp. 2403-2410 ◽  
Author(s):  
Guanjiang Huang ◽  
Mengsi Luo ◽  
Jingxuan Zhang ◽  
Hongbing Liu
2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P136-P136
Author(s):  
Faustino Nunez ◽  
Maria Jesus Caminero ◽  
Jose-Luis Llorente-Pendas ◽  
Carlos Suarez-Nieto

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.


Author(s):  
Jaeock Kim

Background and Objectives This study was to investigate the voice quality and articulation effects of laryngeal massage on muscle tension dysphonia (MTD).Materials and Method A systematic review of articles published between January 2000 and December 2020 in Cochrane, PubMed, ScienceDirect, SpingerLink, ERIC, and Naver Academic was conducted. From the total of 2094 articles identified, 10 peer-reviewed articles were included in a meta-analysis. Mean effect sizes of the variables related to voice quality (jitter, shimmer, harmonic to noise ratio or noise to harmonic ratio, high-F0, low-I, cepstral peak prominence) and articulation (F1, F2, F1 slope, F2 slope) were calculated by Hedges’g.Results Meta-analysis of the selected articles showed that laryngeal massage had medium to large effects on all variables of voice quality and articulation except F0-high and F1 slope in the MTD patients.Conclusion This study provided comprehensive clinical evidence that it is highly desirable to apply laryngeal massage to MTD patients.


Oral Oncology ◽  
2016 ◽  
Vol 62 ◽  
pp. 90-100 ◽  
Author(s):  
Görkem Eskiizmir ◽  
Yasemin Baskın ◽  
Femin Yalçın ◽  
Hülya Ellidokuz ◽  
Robert L. Ferris

2013 ◽  
Vol 33 (2) ◽  
pp. 81-89 ◽  
Author(s):  
Jeanine M.M. van Klink ◽  
Hendrik M. Koopman ◽  
Erik W. van Zwet ◽  
Dick Oepkes ◽  
Frans J. Walther ◽  
...  

2016 ◽  
Vol 32 (2) ◽  
pp. 461-467 ◽  
Author(s):  
Hai-Lan Mo ◽  
Jie Li ◽  
Xiang Yang ◽  
Feng Zhang ◽  
Jun-wei Xiong ◽  
...  

2019 ◽  
Vol 99 (4) ◽  
pp. 229-234 ◽  
Author(s):  
Ziya Şencan ◽  
Ela Cömert ◽  
Ümit Tunçel ◽  
Caner Kılıç

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.


2002 ◽  
Vol 111 (6) ◽  
pp. 493-499 ◽  
Author(s):  
Christian Sittel ◽  
Patrick Zorowka ◽  
Gerhard Friedrich ◽  
Hans-Edmund Eckel

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.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
André Vicente Guimarães ◽  
Rogério Aparecido Dedivitis ◽  
Leandro Luongo Matos ◽  
Felipe Toyama Aires ◽  
Claudio Roberto Cernea

Head & Neck ◽  
2011 ◽  
Vol 34 (1) ◽  
pp. 23-33 ◽  
Author(s):  
Yasin Abdurehim ◽  
Zhang Hua ◽  
Yalkun Yasin ◽  
Ayihen Xukurhan ◽  
Ilham Imam ◽  
...  

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