Voice quality after endoscopic laser surgery and radiotherapy for early glottic cancer: objective measurements emphasizing the Voice Handicap Index.
We analyzed the functional outcome and self-evaluation of the voice of patients with T1 glottic carcinoma treated with endoscopic laser surgery and radiotherapy. 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. Voice quality is affected both by surgery and radiotherapy. Voice parameters only show differences in the maximum phonation time between both treatments. Results in the Voice Handicap Index show that radiotherapy has less effect on patient voice quality perception. There is a reduced impact on the patient's perception of voice quality after radiotherapy, despite there being no significant differences in vocal quality between radiotherapy and laser cordectomy.
Núñez Batalla
Faustino
F
Servicio de Otorrinolaringología del Hospital Universitario Central de Asturias, Oviedo, Spain. fnunezb@telefonica.net
Caminero Cueva
Maria Jesús
MJ
Señaris González
Blanca
B
Llorente Pendás
José Luis
JL
Gorriz Gil
Carmen
C
López Llames
Aurora
A
Alonso Pantiga
Ramón
R
Suárez Nieto
Carlos
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D005260:Female; D005931:Glottis; D006801:Humans; D007822:Laryngeal Neoplasms / Q000532:radiotherapy* / Q000601:surgery*; D053685:Laser Therapy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D014832:Voice Disorders / Q000453:epidemiology; D014833:Voice Quality