Vergleichende Stimmuntersuchung nach laserchirurgischer versus fronto-lateraler Kehlkopfteilresektion bei T1b- und T2-Stimmlippencarcinom

Autor:	T. Seidler, R. Böckler, T. Hacki, V. Bonkowsky
Rok vydání:	1999
Předmět:	Laser surgery medicine.medical_specialty Surgical approach business.industry medicine.medical_treatment Voice Disorder Surgery Laryngectomy Respiratory flow Tracheotomy Larynx carcinoma Otorhinolaryngology medicine business Partial laryngectomy
Zdroj:	Laryngo-Rhino-Otologie. 78:512-515
ISSN:	1438-8685 0935-8943
DOI:	10.1055/s-2007-996918
Popis:	BACKGROUND We conducted a study to compare the voice quality after transoral endolaryngeal laser surgery versus anterolateral partial laryngectomy in terms of ability to communicate effectively. MATERIAL AND METHODS Two groups each of 8 patients were reexamined at least 6 months after either a laser surgical or a partial anterolateral laryngectomy for a T1b or T2 vocal chord carcinoma was performed by the same surgeon. The following examinations were conducted: video-laryngoscopy, video-stroboscopy, phonetogram when reading a standard text or when speaking and shouting, voice load test, respiratory flow measurement, auditive voice rating following the RBH model, and auditive rating of the voice by the patients according to a questionnaire. RESULTS A voice disorder with a medium-grade dysphony and an essential limitation of the speaking and shouting voice function and voice quality was detected in both groups of patients. No significant differences were observed in any of the parameters evaluation in both groups of patients. CONCLUSIONS Both surgical techniques appear to be equivalent in terms of postoperative voice function. However, the tracheotomy was avoided in the patients undergoing laser surgery.
Databáze:	OpenAIRE
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