Phonosurgical Injection Approaches for Voice Restoration After Open Partial Horizontal Laryngectomies: A Pilot Study.

Autor: Fantini M; Otorhinolaryngology Service, Koelliker Hospital, Turin, Italy; Otorhinolaryngology Service, San Feliciano Hospital, Rome, Italy. Electronic address: marcofantini8811@hotmail.it., Crosetti E; Head and Neck Oncology Service, Candiolo Cancer Institute, FPO IRCCS, Candiolo, Italy., Firino A; Head and Neck Oncology Service, Candiolo Cancer Institute, FPO IRCCS, Candiolo, Italy., Gallia M; Head and Neck Oncology Service, Candiolo Cancer Institute, FPO IRCCS, Candiolo, Italy., Borrelli G; Physical Medicine and Rehabilitation Service, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy., Stacchini M; Otorhinolaryngology Unit, Head and Neck Department, Bufalini Hospital, Cesena, Italy., Ricci Maccarini A; Otorhinolaryngology Unit, Head and Neck Department, Bufalini Hospital, Cesena, Italy., Succo G; Otolaryngology Head and Neck Surgery Unit, San Giovanni Bosco Hospital, Turin, Italy; Oncology Department, University of Turin, Turin, Italy.
Jazyk: angličtina
Zdroj: Journal of voice : official journal of the Voice Foundation [J Voice] 2024 Sep; Vol. 38 (5), pp. 1256.e1-1256.e8. Date of Electronic Publication: 2022 Apr 23.
DOI: 10.1016/j.jvoice.2022.03.024
Abstrakt: Objective: The aim of the present study is to evaluate the efficacy of phonosurgical corrective approaches based on injection laryngoplasties and pharyngoplasties followed by speech therapy for voice restoration after unsatisfactory phonatory results of open partial horizontal laryngectomies.
Methods: Ten patients with not satisfying phonatory results despite speech therapy after type II or type III open partial horizontal laryngectomies (OPHLs) were included. Each patient underwent a voice restoration program based on phonosurgery (injection laryngoplasty and/or injection pharyngoplasty) with hyaluronic acid and/or calcium hydroxyapatite, followed by post-surgical voice rehabilitation. Voices were recorded and analysed through spectrographic, aerodynamic, perceptual, laryngoscopic and self-assessment evaluations before the treatment (T0), after 1 month (T1) and after three months (T2).
Results: Significant improvements in the patients voices were found between T0, T1 and T2 concerning acoustic, perceptual, aerodynamic, laryngoscopic and self assessment evaluations.
Conclusions: The results of the present study support phonosurgical injection procedures followed by speech therapy as an effective strategy for voice restoration after type II or type III OPHLs in selected patients.
(Copyright © 2022 The Voice Foundation. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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