Consequences of voice impairment in daily life for patients following radiotherapy for early glottic cancer: voice quality, vocal function, and vocal performance

1999 ◽  
Vol 44 (5) ◽  
pp. 1071-1078 ◽  
Author(s):  
Irma M Verdonck-de Leeuw ◽  
Ronald B Keus ◽  
Frans J.M Hilgers ◽  
Florien J Koopmans-van Beinum ◽  
An J Greven ◽  
...  
Keyword(s):  
Daily Life ◽  
Voice Quality ◽  
Glottic Cancer ◽  
Vocal Performance ◽  
Early Glottic Cancer ◽  
Vocal Function

scholarly journals Evolution of voice after transoral laser cordectomy for precancerous lesions and early glottic cancer

2021 ◽  
Author(s):  
Lucia Staníková ◽  
Karol Zeleník ◽  
Martin Formánek ◽  
Jana Seko ◽  
Radana Walderová ◽  
...  
Keyword(s):  
Precancerous Lesions ◽  
Voice Quality ◽  
Quality Parameters ◽  
Substantial Improvement ◽  
Glottic Cancer ◽  
Early Glottic Cancer ◽  
Post Surgery ◽  
Group I ◽  
Group Ii ◽  
Laser Cordectomy

Abstract Purpose To evaluate voice quality evolution after a transoral laser cordectomy (TLC) for precancerous lesions and early glottic cancer. Methods This prospective study enrolled 18 patients scheduled for TLC for high-grade dysplasia, Tis, T1, and T2 glottic squamous cell cancers, from May 2017 to March 2020. Patients were grouped according to the extent of TLC: Group I (n = 11, 61.1%): unilateral subepithelial or subligamental cordectomy; Group II (n = 7, 38.9%): unilateral transmuscular, total, or extended cordectomy. Voice quality parameters, including dysphonia grade (G), roughness (R), breathiness (B), maximal phonation time (MPT), jitter, and shimmer, were evaluated before, and at 6 weeks and 6 months after the TLC. Results In Group I, the degree of G and R items remained without substantial improvement 6 weeks after surgery; however, improved above the pre-surgery level up to 6 months after surgery. The MPT, jitter, and shimmer did not change significantly at 6 weeks or 6 months post-TLC. In Group II, G, R, and B remained significantly impaired even 6 months post-surgery. Jitter, and shimmer worsened at 6 weeks, but reached preoperative levels at 6 months post-surgery. MPT was significantly worse at 6 weeks and remained deteriorated at 6 months post-surgery. All measured parameters were significantly worse in Group II than in Group I at 6 weeks and 6 months post-surgery. No patient required a phonosurgical procedure. Conclusion After a TLC, voice quality evolution depended on the extent of surgery. It did not improve at 6 weeks post-surgery. Improvements in less extent cordectomies occurred between 6 weeks and 6 months post-surgery. Understanding voice development over time is important for counseling patients when considering phonosurgical procedures.

Risk factors for voice quality after radiotherapy for early glottic cancer

2009 ◽  
Vol 93 (3) ◽  
pp. 524-529 ◽  
Author(s):  
Irena Hočevar-Boltežar ◽  
Miha Žargi ◽  
Primož Strojan
Keyword(s):  
Risk Factors ◽  
Voice Quality ◽  
Glottic Cancer ◽  
Early Glottic Cancer

scholarly journals Voice quality after endoscopic laser surgery and radiotherapy for early glottic cancer: objective measurements emphasizing the Voice Handicap Index

2007 ◽  
Vol 265 (5) ◽  
pp. 543-548 ◽  
Author(s):  
Faustino Núñez Batalla ◽  
Maria Jesús Caminero Cueva ◽  
Blanca Señaris González ◽  
José Luis Llorente Pendás ◽  
Carmen Gorriz Gil ◽  
...  
Keyword(s):  
Laser Surgery ◽  
Voice Quality ◽  
Voice Handicap Index ◽  
Glottic Cancer ◽  
Early Glottic Cancer ◽  
Objective Measurements ◽  
Endoscopic Laser ◽  
The Voice ◽  
Endoscopic Laser Surgery

scholarly journals Factors affecting voice quality in early glottic cancer before and after radiotherapy

2019 ◽  
Vol 53 (4) ◽  
pp. 459-464 ◽  
Author(s):  
Jana Mekis ◽  
Primoz Strojan ◽  
Irena Hocevar Boltezar
Keyword(s):  
Anterior Commissure ◽  
Voice Quality ◽  
Vocal Folds ◽  
Medical Documentation ◽  
Glottic Cancer ◽  
Glottic Carcinoma ◽  
Early Glottic Cancer ◽  
Factors Affecting ◽  
Maximum Phonation Time ◽  
Multimodal Methods

Abstract Background Radiotherapy (RT) is a successful mode of treatment for early glottic cancer. The aim of the study was to assess voice quality both before and 3 months after successful RT using multimodal methods while also identifying the factors affecting it. Patients and methods In 50 patients with T1 glottic carcinoma, the subjective (patients’ assessment of voice quality [VAS], Voice Handicap Index [VHI] questionnaire, phoniatricians’ assessment using the grade/roughness/ breathiness [GRB] scale), and objective assessments (fundamental laryngeal frequency [F0], jitter, shimmer, maximum phonation time [MPT]) of voice quality were performed before RT and 3 months post-RT. The data on gender, age, extent of the tumors, biopsy types, smoking, local findings, and RT were obtained from the medical documentation. Results Three months after the treatment, VAS, VHI, G and R scores, F0, and MPT significantly improved in comparison with their assessment prior to treatment. Before the treatment, the involvement of the anterior commissure significantly deteriorated jitter (p = 0.044) and the involvement of both vocal folds deteriorated jitter (p = 0.003) and shimmer (p = 0.007). After the RT, F0 was significantly higher in the patients with repeated biopsy than in the others (p = 0.047). In patients with post-RT changes, the B score was significantly higher than in those without post-RT changes (p = 0.029). Conclusions Voice quality already significantly improved three months after the treatment of glottic cancer. The main reason for the decreased voice quality prior to treatment is the tumor’s extent. Post-RT laryngeal changes and repeated biopsies caused more scarring on vocal folds adversely influencing voice quality after the treatment.

8534 POSTER Voice Quality in Patients Treated With Surgery or Radiotherapy for Early Glottic Cancer – a Comparative Study

2011 ◽  
Vol 47 ◽  
pp. S553-S554
Author(s):  
L. Cerezo ◽  
M. Lopez ◽  
M. Martin ◽  
J. Garcia ◽  
Y. Ibafiez ◽  
...  
Keyword(s):  
Comparative Study ◽  
Voice Quality ◽  
Glottic Cancer ◽  
Early Glottic Cancer

Effectiveness of transoral laser microsurgery for precancerous lesions and early glottic cancer guided by analysis of voice quality

Head & Neck ◽  
2013 ◽  
Vol 36 (6) ◽  
pp. 763-767 ◽  
Author(s):  
Abdulrahman Ali Bahannan ◽  
Aleš Slavíček ◽  
Libor Černý ◽  
Jan Vokřal ◽  
Zdenek Valenta ◽  
...  
Keyword(s):  
Precancerous Lesions ◽  
Voice Quality ◽  
Glottic Cancer ◽  
Transoral Laser Microsurgery ◽  
Laser Microsurgery ◽  
Early Glottic Cancer

Longitudinal analysis of voice quality in patients with early glottic cancer after transoral laser microsurgery

Head & Neck ◽  
2011 ◽  
Vol 34 (9) ◽  
pp. 1294-1298 ◽  
Author(s):  
Pen-Yuan Chu ◽  
Yen-Bin Hsu ◽  
Tsung-Lun Lee ◽  
Sherry Fu ◽  
Li-Mei Wang ◽  
...  
Keyword(s):  
Longitudinal Analysis ◽  
Voice Quality ◽  
Glottic Cancer ◽  
Transoral Laser Microsurgery ◽  
Laser Microsurgery ◽  
Early Glottic Cancer

scholarly journals Multidimensional Voice Quality Evaluation After Transoral CO2 Laser Cordectomy: A Prospective Study

2020 ◽  
Vol 100 (1_suppl) ◽  
pp. 27S-32S
Author(s):  
Yaniv Hamzany ◽  
Lise Crevier-Buchman ◽  
Jérôme R. Lechien ◽  
Gideon Bachar ◽  
Daniel Brasnu ◽  
...  
Keyword(s):  
Voice Quality ◽  
Voice Handicap Index ◽  
Glottic Cancer ◽  
Type I ◽  
Quality Changes ◽  
Early Glottic Cancer ◽  
Maximum Phonation Time ◽  
Group 2 ◽  
Laser Cordectomy ◽  
Group 1

Objective: To investigate voice quality changes of patients treated by transoral laser cordectomy (TLC) for early glottic cancer according to the type of cordectomies. Methods: A total of 164 consecutive male patients with an early glottic cancer were prospectively recruited from the Department of Otolaryngology—Head and Neck Surgery of the Georges Pompidou European Hospital. Depending on the tumor characteristics, patients benefited from type I to VI CO2 cordectomy regarding the European Laryngological Society classification. The following voice quality outcomes were pre- to postoperatively assessed: voice handicap index (VHI), perceptual grade of dysphonia, roughness, breathiness, maximum phonation time, and acoustic parameters. Results: Fifty-five patients with Tis, T1, or T2 vocal fold cancer completed the study (mean age: 61.7 years). Of these patients, 34 and 21 composed group 1 (types I-III TLC) and group 2 (types IV-VI TLC), respectively. Voice handicap index, grade of dysphonia, and breathiness significantly improved from pre- to 3- and 6-month posttreatment in group 1. In group 2, only VHI significantly improved from pre- to 3- and 6-month posttreatment. Acoustic and aerodynamic measurements did not change throughout the postoperative course. Patients with types I to III TLC exhibited better postoperative voice outcomes compared to those treated by types IV to VI TLC. Conclusion: Irrespective to the types of TLC, the subjective voice quality of patients treated by CO2 laser cordectomy for early glottic cancer significantly improved from pre- to 3- and 6-month posttreatment. The usefulness of aerodynamic and acoustic measurements as postoperative outcomes of voice quality changes remain controversial and require future studies considering multidimensional assessment of voice.

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