Vocal quality after transoral CO2 laser cordectomy

Objectives: To assess vocal quality in patients undergoing transoral laser microsurgery (TLM) of the larynx with CO2 laser according to the type of cordectomy. Study Design: Cross-sectional observational study. Methods: Patients who underwent TLM for glottic squamous cell carcinoma (SCC) were d...

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Bibliographic Details
Main Authors: Luís Rio Rodrigues, Alberto Santos, Sandra Hespanhol, Constança Oom, Filipa Ruas Morgado, António Trigueiros Cunha, Carlos Macor
Format: Article
Language:English
Published: Portuguese Society of Otolaryngology and Head and Neck Surgery 2023-11-01
Series:Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
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Online Access:https://journalsporl.com/index.php/sporl/article/view/2061
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Summary:Objectives: To assess vocal quality in patients undergoing transoral laser microsurgery (TLM) of the larynx with CO2 laser according to the type of cordectomy. Study Design: Cross-sectional observational study. Methods: Patients who underwent TLM for glottic squamous cell carcinoma (SCC) were divided into Group A (type III cordectomy) and Group B (types IV-V). The following parameters were assessed: fundamental frequency (F0), jitter, shimmer, maximum phonation time (MPT), GRBAS scale, and Voice Handicap Index-10 (VHI-10). Results: Sixteen patients were enrolled, 8 in Group A and 8 in Group B. Patients in Group B had a higher VHI-10 compared to those in Group A. The values of G (grade), R (roughness), and S (strain), as well as acoustic parameters, were generally worse in Group B. Conclusion: The type of TLM has a long-term impact on vocal quality, with a significant effect on quality of life.
ISSN:2184-6499