Schleier E, Seigert C, Klingholz F
Laryngol Rhinol Otol (Stuttg). 1976 Jun;55(6):464-9.
A report is given on the results of comparative clinical, stroboscopical and sonagraphical investigations in 40 patients who were treated on account of vocal cord carcinoma in the T1-T3 stages at the E. N. T. clinic of Jena during 1956-1973. The therapeutic treatment was institial irradiation, chordectomy, or irradiation only. Clinicomorphological changes of the healthly vocal cord were observed with nearly all procedures used. The incidence was considerably higher with iradiated patients. The best functional late results appeared after institial irradiation and irradiation. The vocal rehabilitation after chordectomy may be considered promising, too. From the results obtained we can conclude that when deciding on the selection of further medical procedure the analyses of functional late results should be taken into account, considering, of course, the stage of the disease and the greatest remedial success. The group of people mentioned should be given in any case together with tumor aftertreatment in a phoniatric follow-up, since the psychological stress present may be considerably reduced for the benefit of optimal rehabilitation.
本文报告了1956年至1973年间在耶拿市耳鼻喉诊所对40例T1 - T3期声带癌患者进行的临床、频闪喉镜和超声检查的比较结果。治疗方法为间质内照射、声带切除术或仅进行照射。几乎所有使用的治疗方法都观察到了健康声带的临床形态学变化。接受照射的患者发生率明显更高。间质内照射和照射后的最佳功能远期效果出现。声带切除术后的嗓音康复也可被认为是有前景的。从获得的结果可以得出结论，在决定选择进一步的医疗程序时，应考虑功能远期效果的分析，当然也要考虑疾病的阶段和最大的治疗成功。无论如何，在嗓音治疗随访中，上述人群应与肿瘤后续治疗一起提供，因为这样可以显著减轻心理压力，有利于最佳康复。
