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Voice handicap evaluation after supracricoid partial laryngectomy
Marc Makeieff1, Amy de la Breteque, B Guerrier
1Service ORL Chirurgie Cervico-Faciale Hôpital Gui de Chauliac, Université de Médecine, Montpellier, France. m-makeieff@chumontpellier.fr
The Laryngoscope
|February 11, 2009
Summary
Supracricoid partial laryngectomy significantly impacts patients' professional lives, with many needing to alter or cease vocally demanding careers. Careful consideration of vocal handicap is crucial before this surgery.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Oncology
Background:
- Supracricoid partial laryngectomy (SCPL) is a surgical option for laryngeal cancer.
- Assessing the long-term vocal and professional outcomes of SCPL is essential for patient counseling and care.
Purpose of the Study:
- To evaluate the vocal and professional impact of supracricoid partial laryngectomy (SCPL).
- To correlate voice quality and handicap with professional reintegration and patient-reported outcomes.
Main Methods:
- Collected quality of life data over 12 months post-SCPL.
- Utilized GRBAS scale, Voice Handicap Index (VHI), and socioprofessional assessments in 64 patients with early-stage glottic carcinoma.
- Analyzed data based on age, professional activity, and vocal demands.
Main Results:
- 45% of professionally active patients modified or ceased activities post-SCPL; 55% experienced professional impact.
- Patients in communications sectors showed significant withdrawal (33.3%) or adaptation (26.6%) of professional activities.
- Higher VHI scores correlated with poorer voice quality, professional cessation, and longer time since surgery.
Conclusions:
- SCPL can lead to substantial social and professional repercussions, particularly for vocally demanding professions.
- Pre-operative counseling should address potential vocal handicap and its impact on professional and social life.
- Individualized assessment of professional activities is vital when considering SCPL.
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