Keilmann Annerose, Napiontek Ulrike, Engel Christiane, Nakarat Todsaporn, Schneider Astrid, Mann Wolf
Department for ENT and Communication Disorders, Mainz University Medical Center, Mainz, Germany.
ORL J Otorhinolaryngol Relat Spec. 2011;73(1):38-46. doi: 10.1159/000322592. Epub 2010 Dec 9.
Our aim was to longitudinally analyze the vocal outcome after endoscopic CO(2) laser resection of early glottic carcinoma.
Sixteen patients treated with laser surgery for T1 or T2 tumors of the vocal cords received voice therapy and were examined 1, 2, 3, 4.5, 6 and 12 months postoperatively. Besides videolaryngostroboscopy, each examination included history, phonetogram of the speaking and the singing voice, language-specific hoarseness diagram and a questionnaire (Voice Handicap Index 12 in German).
Objective parameters demonstrated a broad variability with a slight tendency of improvement over time. For the maximal phonation time a nearly constant improvement was seen. After an initial improvement deterioration for subjective assessment in the Voice Handicap Index was noted in most patients 3-6 months postoperatively.
The functional outcome after cordectomy is variable. MESSAGE OF THE PAPER: Discrepancies between objective findings and patient satisfaction over time have to be considered after cordectomy.
我们的目的是纵向分析早期声门癌内镜下二氧化碳激光切除术后的嗓音结果。
16例接受声带T1或T2肿瘤激光手术治疗的患者接受了嗓音治疗，并在术后1、2、3、4.5、6和12个月进行了检查。除了视频喉镜频闪检查外，每次检查还包括病史、说话和唱歌声音的语图、特定语言的嘶哑图以及一份问卷（德语版嗓音障碍指数12）。
客观参数显示出广泛的变异性，且随着时间推移有轻微的改善趋势。对于最大发声时间，观察到几乎持续的改善。在术后3 - 6个月，大多数患者的嗓音障碍指数主观评估出现了最初改善后的恶化。
声带切除术后的功能结果存在差异。论文要点：声带切除术后，必须考虑客观结果与患者随时间推移的满意度之间的差异。
