Voice and Quality-of-Life Outcomes of Diode Laser for Tis–T1a Glottic Cancer

The aim of this prospective study was to analyze the voice and quality-of-life outcomes of microscopic diode laser surgery (MDLS). The study was conducted on a series of 46 patients with Tis–T1a glottic carcinoma treated with microscopic endolaryngeal diode laser surgery. Patients were asked to comp...

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Bibliographic Details
Published in:Ear, nose, & throat journal nose, & throat journal, 2020-05, Vol.99 (4), p.229-234
Main Authors: Şencan, Ziya, Cömert, Ela, Tunçel, Ümit, Kılıç, Caner
Format: Article
Language:English
Subjects:
Adult
Aged
Cancer surgery
Carcinoma - pathology
Carcinoma - physiopathology
Carcinoma - surgery
Female
Glottis - pathology
Glottis - physiopathology
Head & neck cancer
Humans
Laryngeal cancer
Laryngeal Neoplasms - pathology
Laryngeal Neoplasms - physiopathology
Laryngeal Neoplasms - surgery
Laryngectomy - methods
Larynx
Laser surgery
Lasers, Semiconductor - therapeutic use
Male
Microscopy, Confocal - methods
Middle Aged
Neoplasm Staging
Postoperative Period
Prospective Studies
Quality of Life
Surgical outcomes
Treatment Outcome
Voice Quality
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Summary:The aim of this prospective study was to analyze the voice and quality-of-life outcomes of microscopic diode laser surgery (MDLS). The study was conducted on a series of 46 patients with Tis–T1a glottic carcinoma treated with microscopic endolaryngeal diode laser surgery. Patients were asked to complete the Voice Handicap Index and quality-of-life questionnaires of the European Organization for Research and Treatment of Cancer. When comparing the pre- and postoperative scores, there were significant difference on the physical scores (P = .014) of the patients who underwent type III cordectomy and functional (P = .022), emotional (P = .002), and overall scores (P = .005) of the patients who underwent type IV cordectomy, in the direction of better quality of voice after MDLS. The postoperative functional, physical, emotional, and overall scores of groups were significantly increased with the extension of resection.
ISSN:0145-5613
1942-7522
DOI:10.1177/0145561319839868