Ocena jakości głosu po usunięciu nowotworów T1 i T 2 głośni z jednoczesną rekonstrukcją fałdu głosowego uszypułowanym płatem z mięśnia mostkowo-tarczowego
Journal Title: Otolaryngologia Polska - Year 2014, Vol 68, Issue 5
Abstract
Introduction: In recent years there has been an increasing number of cases of cancer, including cancer of the larynx. The choice of treatment should be primarily dictated by the complete elimination of cancer, but from the point of view of the patient, an important factor to keep in mind, is the quality of the voice that will be created at the end of the therapeutic process. Aim: The aim of this study was to evaluate the voice quality of patients after partial surgery of the larynx with vocal fold reconstruction pedunculated sterno-thyroid muscle flap. Materials and Methods: The study included 30 men aged 53– 72 years who were treated at the Clinic of Otorhinolaryngology Department of MedicalDental Medical University of Warsaw on account of cancer of the larynx, qualified according to the TNM classification T1 or T2. The radical removal of cancer was associated with resection of one vocal fold, laryngeal pouches and ventricular fold. In 15 patients, included to the group I at the end of phase oncology surgery, a reconstruction of ‘‘vocal fold’’ pedunculated sterno-thyroid muscle flap were performed simultaneously. The group II consisted of 15 patients who underwent surgery that removed only the cancerous lesions. Impact assessments arising after surgery of voice disorders on quality of life were made using the self-test failure of the voice (Voice Handicap Index in the Pruszewicz modification). The nature of the created voice was studied using GRBAS scale. All patients performed the laryngostroboscope examination. With ‘‘IRIS’’ program, prepared by a team at Wrocław University of Technology, the voice was recorded, and then was subjected to acoustic analysis. In addition, noise level and the maximum phonation time was measured.
Authors and Affiliations
Jan Ratajczak, Piotr Wójtowicz, Antoni Krzeski
Keywords
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