早期声门型喉癌经口激光微创手术后嗓音质量的纵向分析。
Longitudinal analysis of voice quality in patients with early glottic cancer after transoral laser microsurgery.
机构信息
Department of Otolaryngology, Taipei Veterans General Hospital, National Yang-Ming University, Taipei, Taiwan.
出版信息
Head Neck. 2012 Sep;34(9):1294-8. doi: 10.1002/hed.21914. Epub 2011 Nov 15.
BACKGROUND
We conducted longitudinal voice evaluations in patients with early glottic cancer who underwent transoral laser microsurgery (TLM) to determine the time to stability.
METHODS
Twenty-five patients underwent TLM, including 13 limited cordectomies (type I and type II) and 12 extended cordectomies (type III to type IV). Multidimensional voice evaluations were performed before treatment and at 1, 3, 6, and 12 months after treatment.
RESULTS
Voice parameters of asthenicity, strain, mean airflow rate (MFR), voice handicap index (VHI)-functional, VHI-physical, and VHI-total scores improved in all patients. Most patients had improved 6 months after TLM. Patients with extended cordectomy showed higher breathiness, MFR, VHI-functional, and VHI-total scores. Healing was complete in all cases by 6 months and in a majority of cases (76%) by 3 months.
CONCLUSIONS
Voice quality achieved stability 6 months after TLM. Comparing treatment outcomes and surgical intervention are not recommended within 6 months of surgery.
背景
我们对接受经口激光微创手术（TLM）治疗的早期声门癌患者进行了纵向嗓音评估，以确定稳定的时间。
方法
25 例患者接受了 TLM，包括 13 例局限性声带切除术（I 型和 II 型）和 12 例广泛声带切除术（III 型至 IV 型）。在治疗前和治疗后 1、3、6 和 12 个月进行多维嗓音评估。
结果
所有患者的乏力、紧张、平均气流率（MFR）、嗓音障碍指数（VHI）-功能、VHI-生理和 VHI-总分等嗓音参数均有所改善。大多数患者在 TLM 后 6 个月得到改善。广泛声带切除术患者的粗糙声、MFR、VHI-功能和 VHI-总分更高。所有病例在 6 个月时愈合完全，在大多数病例（76%）在 3 个月时愈合完全。
结论
TLM 后 6 个月嗓音质量达到稳定。不建议在手术 6 个月内比较治疗效果和手术干预。
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