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Structured Motor Rehabilitation After Selective Nerve Transfers
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Long-term functional outcome after unilateral cordectomy.

Annerose Keilmann1, Ulrike Napiontek, Christiane Engel

  • 1Department for ENT and Communication Disorders, Mainz University Medical Center, Mainz, Germany. annerose.keilmann@unimedizin-mainz.de

ORL; Journal for Oto-Rhino-Laryngology and Its Related Specialties
|December 15, 2010
PubMed
Summary

Vocal outcomes after endoscopic CO2 laser resection for early glottic cancer vary. While objective measures show improvement, patient-reported voice handicap may worsen mid-term post-surgery.

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Area of Science:

  • Otolaryngology
  • Oncology
  • Speech-Language Pathology

Background:

  • Early glottic carcinoma is often treated with endoscopic CO2 laser resection.
  • Assessing long-term vocal function after this procedure is crucial for patient quality of life.

Purpose of the Study:

  • To longitudinally evaluate vocal outcomes following endoscopic CO2 laser resection of early glottic carcinoma.
  • To analyze objective and subjective voice parameters over time post-surgery.

Main Methods:

  • Sixteen patients with T1/T2 glottic tumors underwent laser surgery and voice therapy.
  • Vocal assessments included videolaryngostroboscopy, phonetograms, hoarseness diagrams, and the Voice Handicap Index (VHI) at multiple postoperative intervals (1-12 months).

Main Results:

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  • Objective vocal parameters exhibited variability but generally improved over time, with maximal phonation time showing consistent gains.
  • Subjective voice assessment via the VHI indicated a deterioration in patient satisfaction between 3-6 months postoperatively, despite initial improvements.

Conclusions:

  • Functional vocal outcomes after cordectomy for early glottic cancer are variable.
  • Discrepancies between objective vocal findings and patient-perceived voice handicap necessitate consideration in post-treatment management.