Evaluation of Voice Quality after Supraglottic Laryngectomy

Topaloğlu, İlhan; Saltürk, Zıya; Atar, Yavuz; Berkıten, Güler; Büyükkoç, Onur; Çakır, Ozan

doi:10.1177/0194599814554763

Cited by 8 publications

(7 citation statements)

References 18 publications

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“…The removal of false cords or arytenoids in expanded cases could considerably change the voice quality. Topaloğlu et al (19) found a significant decrease in the maximum phonation time and the fundamental frequency of patients who underwent OPL compared to the control group. They did not, however, observe a significant difference in perceptual and subjective analysis.…”

Section: Discussionmentioning

confidence: 98%

Functional and Oncological Outcomes of Open Partial Laryngectomy vs. Transoral Laser Surgery in Supraglottic Larynx Cancer

Gökmen¹,

Büyükatalay²,

Beton³

et al. 2021

Turk Arch Otorhinolaryngol

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Objective:The aim of the presented study was to evaluate the outcomes of open partial laryngectomy (OPL) versus transoral laser surgery (TLS) in patients operated on for supraglottic laryngeal carcinoma based on functional parameters (duration of hospitalization, oral nutritional status and duration of transition to oral feeding, weaning status and duration after tracheotomy, and postoperative voice results) and oncological results (overall survival rate, disease-specific survival rate, recurrence, and presence of second primary tumors) in both groups. Methods: All laryngeal carcinoma patients who had undergone either OPL or TLS in the period from January 2012 to March 2017 in our center and were followed-up at least for 36 months were included in the study. Statistical analyses were carried out using the t-test and the Mann-Whitney U test to compare the means, and the Kaplan-Meier test for survival analysis. Results: Fifty patients (44 males and 6 females) met the study criteria, of whom 31 had undergone OPL and 19 TLS. Patients that underwent TLS had less tracheotomy needs, needed shorter hospitalization periods, and transitioned to oral feeding earlier, compared to those that underwent OPL. There were no significant differences between the two groups based on oral feeding rates and voice outcomes. The impact of TLS and OPL on organ preservation in supraglottic laryngeal cancer were comparable. For local recurrences, repeated endolaryngeal laser surgeries and adjuvant treatments could be used in the TLS patient group. There were no significant differences between the two groups based on overall survival rate and disease specific survival rate. Conclusion:Although no significant differences were found in our study between the two surgical procedures in terms of oncological outcomes, TLS appeared to produce better functional outcomes in supraglottic laryngeal carcinoma than OPL.

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Section: Discussionmentioning

confidence: 98%

Functional and Oncological Outcomes of Open Partial Laryngectomy vs. Transoral Laser Surgery in Supraglottic Larynx Cancer

Gökmen¹,

Büyükatalay²,

Beton³

et al. 2021

Turk Arch Otorhinolaryngol

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“…35,36 Others recognize the alteration of voice quality that ensues after partial laryngectomy but still advocate for open conservation techniques given the maintenance of near-normal overall QOL. [37][38][39] Undeniably, the lack of a comparative methodology decreases the reliability and reproducibility of such outcome reports. As pointed out in the recommendations of a consensus panel on laryngeal preservation led by Lefebvre and colleagues, 40 using a set of clinical end points and outcome criteria with a fairly high level of granularity as well as rigorous methodology for comparison of modalities would be desirable in the design of any clinical trial.…”

Section: Quality Of Life After Conservation Surgerymentioning

confidence: 99%

Quality of Life After Conservation Surgery for Laryngeal Cancer

Sadoughi¹

2015

Otolaryngologic Clinics of North America

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“…Thus, SL caused dysphonia. Although SL patients have been subjected to acoustic analyses (5,17,18), neither the sCPP nor the CPP of such patients have been studied (to the best of our knowledge). Stone et al (10) found that the sCPPs of patients who had undergone transoral laser microsurgery were generally low; sCPP does not depend on Fo, which is difficult to measure in severely dysphonic patients (19).…”

Section: Discussionmentioning

confidence: 99%

“…The Fo, which is the principal contributor to voice perception, differed significantly between SL and control patients. Although different algorithms have been used in different studies to calculate Fo, all such studies have found that Fo changes after SL (5,17,18). The vocal fold is protected during SL, enabling production of voice signals that include periodic components, and thus we could record Fo values.…”

Section: Discussionmentioning

confidence: 99%

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Cepstral Peak Point Analyses of Patients Recovering from Supraglottic Laryngectomy

Saltürk¹,

Üstün²,

Sarı³

et al. 2019

BMB

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The aim of this study is to evaluate smoothed cepstral peak point and laryngostrobosopic results in patients who underwent supraglottic laryngectomy. Method: Ten patients who underwent transcervical supraglottic laryngectomy with bilateral modified radical neck dissection, and who completed at least 12 months of follow-up, were included. All patients underwent laryngostroboscopic evaluation at study commencement; glottal closure and mucosal wave pattern were examined. Voice records were taken at fundamental frequency and smoothed cepstral peak point were analysed. Voice handicap index-10 was requested to be completed. Ten healthy individual constituted control group. Results were compared. Results: The mean smoothed cepstral peak points were 1.53-5.91 in the supraglottic laryngectomy group and 4.6-6.06 in controls, a significant difference. The fundamental frequency ranged from 174.49 to 197.25 Hz in the supraglottic laryngectomy group and from 118.57 to 197.61 Hz in the control group, also a significant difference. Laryngostroboscopic evaluation revealed no significant between-group differences in closure, but the mucosal waves differed significantly. Voice handicap index was significantly lower in supraglottic laryngectomy patients. Conclusion: Supraglottic laryngectomy reduces smoothed cepstral peak point and affects the mucosal wave, reducing voice quality.

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Evaluation of Voice Quality after Supraglottic Laryngectomy

Abstract: The results of this study indicate that supraglottic laryngectomy patients have acceptable voice quality, as determined by perceptual and subjective assessment.

Cited by 8 publications

References 18 publications

Functional and Oncological Outcomes of Open Partial Laryngectomy vs. Transoral Laser Surgery in Supraglottic Larynx Cancer

Functional and Oncological Outcomes of Open Partial Laryngectomy vs. Transoral Laser Surgery in Supraglottic Larynx Cancer

Quality of Life After Conservation Surgery for Laryngeal Cancer

Cepstral Peak Point Analyses of Patients Recovering from Supraglottic Laryngectomy

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