Voice and communication after open partial horizontal laryngectomies: A cross‐sectional outcome study

Objective The present study evaluates voice and communication after open partial horizontal laryngectomies (OPHLs), according to surgery and patient‐related variables. Methods Fifty‐eight patients were included: 18 type I OPHL, 20 type II OPHL and 20 type III OPHL. Acoustic, aerodynamic, endoscopic,...

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Veröffentlicht in:Head & neck 2022-10, Vol.44 (10), p.2248-2256
Hauptverfasser: Fantini, Marco, Crosetti, Erika, Pizzorni, Nicole, Sprio, Andrea Elio, Bertolin, Andy, Rizzotto, Giuseppe, Schindler, Antonio, Succo, Giovanni
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container_end_page 2256
container_issue 10
container_start_page 2248
container_title Head & neck
container_volume 44
creator Fantini, Marco
Crosetti, Erika
Pizzorni, Nicole
Sprio, Andrea Elio
Bertolin, Andy
Rizzotto, Giuseppe
Schindler, Antonio
Succo, Giovanni
description Objective The present study evaluates voice and communication after open partial horizontal laryngectomies (OPHLs), according to surgery and patient‐related variables. Methods Fifty‐eight patients were included: 18 type I OPHL, 20 type II OPHL and 20 type III OPHL. Acoustic, aerodynamic, endoscopic, perceptual and self‐assessment analyses were carried out. Surgery‐related variables and patient‐related variables were considered for the analysis. Results Type I OPHL revealed the best phonatory outcomes. Type II and type III OPHL showed similar and poor results, with a highly deteriorated voice quality. A significant difference in MTP was found for patients who had both arytenoids/cricoarytenoid units preserved. Age and time from surgery showed significant correlations with voice quality after OPHLs. Conclusions Voice and communication outcomes after OPHLs are heterogeneous and might be influenced by several factors. Knowing variables with a substantial impact on phonatory outcomes may help clinicians in the preoperative decision‐making process and the postoperative rehabilitative program.
doi_str_mv 10.1002/hed.27132
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Methods Fifty‐eight patients were included: 18 type I OPHL, 20 type II OPHL and 20 type III OPHL. Acoustic, aerodynamic, endoscopic, perceptual and self‐assessment analyses were carried out. Surgery‐related variables and patient‐related variables were considered for the analysis. Results Type I OPHL revealed the best phonatory outcomes. Type II and type III OPHL showed similar and poor results, with a highly deteriorated voice quality. A significant difference in MTP was found for patients who had both arytenoids/cricoarytenoid units preserved. Age and time from surgery showed significant correlations with voice quality after OPHLs. Conclusions Voice and communication outcomes after OPHLs are heterogeneous and might be influenced by several factors. 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subjects communication
Decision making
Laryngeal cancer
laryngectomy
Patients
Surgery
voice
title Voice and communication after open partial horizontal laryngectomies: A cross‐sectional outcome study
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