Voice Outcome After Carbon Dioxide Transoral Laser Microsurgery for Glottic Cancer According to the European Laryngological Society Classification of Cordectomy Types - A Systematic Review.

TOLMS—Larynx—Cancer—Voice outcome—Cordectomy

Journal

Journal of voice : official journal of the Voice Foundation
ISSN: 1873-4588
Titre abrégé: J Voice
Pays: United States
ID NLM: 8712262

Informations de publication

Date de publication:
11 Apr 2022
Historique:
received: 11 02 2022
accepted: 06 03 2022
entrez: 15 4 2022
pubmed: 16 4 2022
medline: 16 4 2022
Statut: aheadofprint

Résumé

Voice outcome after carbon dioxide transoral laser microsurgery (CO A systematic review of the literature was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. The initial search identified 936 records of which 25 publications were then included. Voice outcome data (Voice Handicap Index [VHI] version 30, grade of dysphonia [G] and maximum phonation time [MPT]) were extracted per resection type. Weighted averages were calculated. Data show a gradual increase in the VHI scores although they were still similar for all cordectomy types (range 14.2 to 21.5). The grade of dysphonia showed a gradual increase with increasing resection depth (range 1.0 to 1.9). There was a gradual decrease in the MPT (range 15.2 to 7.2). Voice outcome is related to cordectomy type with mild dysphonia characterizing ELS type I, II and III cordectomies, while more extended cordectomies (ELS type IV, V and VI) result in moderate dysphonia and shortness of breath during phonation. The voice handicap experienced by patients is limited even in the more extended cordectomies.

Sections du résumé

BACKGROUND BACKGROUND
Voice outcome after carbon dioxide transoral laser microsurgery (CO
MATERIALS AND METHODS METHODS
A systematic review of the literature was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. The initial search identified 936 records of which 25 publications were then included. Voice outcome data (Voice Handicap Index [VHI] version 30, grade of dysphonia [G] and maximum phonation time [MPT]) were extracted per resection type. Weighted averages were calculated.
RESULTS RESULTS
Data show a gradual increase in the VHI scores although they were still similar for all cordectomy types (range 14.2 to 21.5). The grade of dysphonia showed a gradual increase with increasing resection depth (range 1.0 to 1.9). There was a gradual decrease in the MPT (range 15.2 to 7.2).
CONCLUSION CONCLUSIONS
Voice outcome is related to cordectomy type with mild dysphonia characterizing ELS type I, II and III cordectomies, while more extended cordectomies (ELS type IV, V and VI) result in moderate dysphonia and shortness of breath during phonation. The voice handicap experienced by patients is limited even in the more extended cordectomies.

Identifiants

DOI: 10.1016/j.jvoice.2022.03.003 PMID: 35422356
pubmed: 35422356
pii: S0892-1997(22)00069-8
doi: 10.1016/j.jvoice.2022.03.003
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2022. Published by Elsevier Inc.

Auteurs

Elisabeth Sjogren (E)

Department of Otorhinolaryngology, Head and Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands. Electronic address: evsjogren@lumc.nl.

Martine Hendriksma (M)

Department of Otorhinolaryngology, Head and Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Cesare Piazza (C)

Department of Otorhinolaryngology- Head and Neck Surgery, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy.

Dana M Hartl (DM)

Department of Otolaryngology Head and Neck Surgery, Institut Gustave Roussy and University Paris-Sud, Villejuif Cedex, France.

Carlos Suarez (C)

Instituto de Investigación Sanitaria del Principado de Asturias, Oviedo, Spain.

Oded Cohen (O)

Department of Surgery, Division of Otolaryngology, Yale University School of Medicine, New Haven, Connecticut.

Remco de Bree (R)

Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, the Netherlands.

Miquel Quer (M)

Department of Otorhinolaryngology and Head and Neck Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.

Vincent Vander Poorten (VV)

Department of Oncology, Section Head and Neck Oncology, KU Leuven, Leuven, Belgium; Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven Cancer Institute, Leuven, Belgium.

Juan Pablo Rodrigo (JP)

Department of Otolaryngology, Hospital Universitario Central de Asturias, IUOPA, University of Oviedo, Centro de Investigación Biomédica en Red de Cancer (CIBERONC), Oviedo, Spain.

Francisco Civantos (F)

Department of Otolaryngology-Head and Neck Surgery, Sylvester Comprehensive Cancer Center, University of Miami, Miami, Florida.

Eric Genden (E)

Ear, Nose, Throat / Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York.

Luiz P Kowalski (LP)

Head and Neck Surgery and Otorhinolarynglology Department, A C Camargo Cancer Center, and Head and Neck Surgery Department, University of São Paulo Medical School.

Antti Makitie (A)

Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Ashok Shaha (A)

Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, New York.

Robert P Takes (RP)

Department of Otolaryngology-Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Alvaro Sanabria (A)

Department of Surgery, School of Medicine, Universidad de Antioquia/Hospital Universitario San Vicente Fundación, Medellín, Colombia.; CEXCA Centro de Excelencia en Enfermedades de Cabeza y Cuello, Medellín, Colombia.

Orlando Guntinas-Lichius (O)

Department of Otorhinolaryngology, Institute of Phoniatry/Pedaudiology, Jena University Hospital, Jena, Germany.

Alessandra Rinaldo (A)

University of Udine School of Medicine, Udine, Italy.

Alfio Ferlito (A)

Coordinator of the International Head and Neck Scientific Group, Padua, Italy.

Classifications MeSH