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[Voice handicap evaluation after supracricoid partial laryngectomy]
M Makeieff1, F Venail, R Garrel
1CHU Montpellier. Hôpital Gui de Chauliac, Service ORL Chirurgie Cervico-Faciale, 80 avenue Augustin Fliche, F-34295 Montpellier Cedex 5, France. m-makeieff@chu-montpellier.fr
Revue De Laryngologie - Otologie - Rhinologie
|April 29, 2005
Summary
Supracricoid partial laryngectomy (SCPL) significantly impacts voice quality and professional activities. The Voice Handicap Index (VHI) effectively evaluates these post-surgical voice problems.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Oncology
Context:
- Supracricoid partial laryngectomy (SCPL) is a treatment for T1b and T2 glottic carcinoma, aiming to preserve voice function.
- Patient self-perception is crucial for evaluating cancer treatment outcomes.
Purpose:
- To assess voice problems following SCPL.
- To correlate patient daily activities, Voice Handicap Index (VHI), and subjective dysphonia evaluations.
Summary:
- Fifty-three patients were evaluated post-SCPL. Voice Handicap Index (VHI) scores showed correlations with time since surgery, cessation of professional activities, and dysphonia grade.
- Over 57% of active patients adapted or ceased professional activities due to voice changes.
Impact:
- SCPL has a significant impact on voice, potentially disrupting patients' professional lives.
- The VHI is a valuable tool for assessing voice-related quality of life after SCPL.
- Considering the post-surgical voice impact is essential when discussing therapeutic options.