title: Voice quality after carbon dioxide laser and conventional surgery for T1A glottic carcinoma.
abstract: The different types of small vocal fold tumor therapy allow the preservation of respiration and deglutition; the quality of phonation is the most important criterion for the patient. The aim of the study is to compare vocal function after treatment of T1a tumors by conventional and laser cordectomy. Fifty-seven male patients were included in the study: 27 underwent conventional cordectomy using an external approach, and 30 underwent an endoscopic microscopic laser cordectomy. Videolaryngoscopy was performed for each subject, and the maximal phonation time was measured. Spectrograms were recorded, and a perturbation analysis was performed if a clear harmonic structure was visible. Voices were perceptually rated by two experienced phoniatricians using the GRBAS scale. Even though a slightly better voice was found after conventional surgery throughout the data, no statistically significant difference was measured in the two groups. The data on voice outcome per se do not indicate the selection of one surgical approach over another.
authors.affiliation: Department of Otolaryngology IV, University of Milan, Milan, Italy. antonio.schindler@tiscali.it
authors.forename: Antonio
authors.initials: A
authors.lastname: Schindler
authors.forename: Francesca
authors.initials: F
authors.lastname: Palonta
authors.forename: Giuliana
authors.initials: G
authors.lastname: Preti
authors.forename: Francesco
authors.initials: F
authors.lastname: Ottaviani
authors.forename: Oskar
authors.initials: O
authors.lastname: Schindler
authors.forename: Andrea Luigi
authors.initials: AL
authors.lastname: Cavalot
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005931:Glottis; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007828:Laryngoscopy; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014833:Voice Quality