Reconstruction of Glottic Defects after Endoscopic Cordectomy: Voice Outcome

Efficacy of type I thyroplasty after endoscopic cordectomy for early‐stage glottic cancer: Literature review

“…Zeitels et al did not give staging of tumors but reported that one patient had a type II cordectomy and five underwent a type III cordectomy. Remacle et al did not describe the tumor stages of patients undergoing laryngeal framework surgery.…”

“…Zeitels et al performed thyroplasty with monitored anesthesia care (MAC), and Sittel et al used MAC in four cases and general anesthesia with a laryngeal mask airway (LMA) in two cases. Remacle et al and Mastronikolis et al used general anesthesia with an LMA for all cases. Zeitels et al and Remacle et al used general anesthesia with an endotracheal tube, and Piazza et al used general anesthesia but did not specify how the airway was managed.…”

“…Piazza et al performed an anterior commissure laryngoplasty in three patients. Two patients in the study by Remacle et al had sectioning of an anterior glottic web with keel placement …”

“…Surgical options available for this problem include treatments more commonly used for unilateral vocal fold paralysis (UVFP), such as injection laryngoplasty (IL) and type 1 thyroplasty. As these techniques have been improved over time, they have been applied to various causes of nonparalytic glottic incompetence, including soft tissue defects after cordectomy . Due to low numbers of appropriate patients for these interventions, as well as heterogeneity of the soft tissue defects treated, there is no current standard treatment for dysphonia after cordectomy.…”

Voice Outcomes After Transoral Laser Microsurgery for Early Glottic Cancer—Considering Signal Type and Smoothed Cepstral Peak Prominence

“…A number of studies have reported improved voice outcomes over the first 12 months after TLM, presumably owing to vocal fold healing and the potential benefits of voice rehabilitation. 9,12,20,56 To our knowledge, the number of laser episodes to achieve an oncologically satisfactory resection and the impact of TLM-related complications have not been previously reported in relation to postoperative voice outcomes. Considering these in relation to newly applied voice assessment methods may be clinically relevant.…”