Voice Outcomes of Transoral Laser Microsurgery of the Larynx

Voice outcome after unilateral ELS type III or bilateral type II resections for T1‐T2 glottic carcinoma: Results after 1 year

“…In contrast, most studies show that resections involving the AC result in worse voice outcome with regard to the grade of dysphonia than resection without the AC . This may be caused by the formation of an anterior glottic scar web in some cases, but also by an increased glottal gap . An explanation for this result could be the fact that the lesions, and therefore the depth of the bilateral resections in our study, were limited as well as the fact that the resections were staged in 14 patients.…”

“…Literature has already shown that unilateral superficial type I‐II resection can provide near to normal VHI scores ranging from 9.0 to 20.7 points . However, the depth of muscle resection in a type III resection varies according to the depth of the tumor, and in the case of deeper excisions a type III resection may induce lasting dysphonia . Only a few studies have investigated the VHI results in unilateral type III resections specifically as opposed to combining them with other resection types.…”

“…In addition to oncological outcome, functional outcome—mainly voice outcome—is an important factor when choosing a primary treatment for these patients. It has been shown that the postoperative voice outcome in limited resections such as subepithelial and subligamental resections (type I‐II according to the European Laryngological Society [ELS] classification) is normal or near to normal and that voice outcome for TLM and RT in these lesions is comparable . However, the postoperative voice is generally poorer in more extended resections (type III‐IV) than in superficial resections (type I‐II) .…”

“…It has been shown that the postoperative voice outcome in limited resections such as subepithelial and subligamental resections (type I-II according to the European Laryngological Society [ELS] classification 6 ) is normal or near to normal 7,8 and that voice outcome for TLM and RT in these lesions is comparable. 2,7,[9][10][11] However, the postoperative voice is generally poorer in more extended resections (type III-IV) than in superficial resections (type I-II). [12][13][14][15][16][17][18] This is consistent with greater glottal insufficiency due to tissue loss.…”

Evaluating Post-Radiotherapy Laryngeal Function with Laryngeal Videostroboscopy in Early Stage Glottic Cancer

“…The structural defect in the VC that results from endoscopic resection can cause functional perturbations, which lead to dysphonia. Indeed, the glottal gap on phonation impacts voice outcomes among post-ELS patients and is associated with the extent of cordectomy beyond the VF (30). Additionally, more invasive lesions or lesions extending into the anterior commissure have been correlated with inferior local control rates for patients undergoing ELS.…”