Voice and deglutition functions after the supracricoid and total laryngectomy procedures for advanced stage laryngeal carcinoma

Dworkin, James Paul; Meleca, Robert J.; Zacharek, Mark A.; Stachler, Robert J.; Pasha, Raza; Abkarian, G. G.; Culatta, Richard; Jacobs, John R.

doi:10.1016/s0194-5998(03)01314-7

Cited by 35 publications

(52 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reasons for the variability in the results are not known, even if anatomic variations among subjects (number of arytenoids removed, reconstruction type) can be expected to play a significant role. Voice following SCL has been analysed in a series of papers as reported in Table III; in only two of these, however, endoscopic, aerodynamic, perceptual, acoustic and self-assessment ratings were used, but the number of subjects studied was rather small (n 0/10) (15,20). Endoscopic examination in our group of subjects showed that arytenoid mobility and antero-posterior squeezing of the arytenoid/epiglottal/base-of-tongue complex was generally good while vibration of the neoglottis was sometimes poor.…”

Section: Discussionmentioning

confidence: 99%

“…The values reported by Bron et al (6), however, are very close to our calculations, confirming that SCL voice is very breathy and rough. As for acoustic analysis, jitter% and shimmer% have been widely used (17,18,20,21,25). We preferred not to perform any perturbation analysis, since spectrographic results showed a high percentage of subjects (35%) with non-harmonic voice, and therefore not suitable for this kind of analysis, as suggested by Titze's recommendations (30).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Voice after supracricoid laryngectomy: Subjective, objective and self-assessment data

Schindler

Favero

Nudo

et al. 2005

Logopedics Phoniatrics Vocology

View full text Add to dashboard Cite

Supracricoid laryngectomy (SCL) is an efficient surgical procedure for the treatment of selected laryngeal carcinoma, presently being performed not only in Europe but also in North America. The functional goals of the technique are voice and swallowing without a permanent tracheostoma. Perceptual and acoustic voice characteristics after SCL have been reported by different authors, but self-assessment data together with subjective and objective data have only been reported for a small number of subjects. Twenty male subjects, with a mean age of 71 years (range: 51-82 years) who underwent a SCL at least one year before our observation, were included in the study. Each subject underwent a flexible laryngoscopy and his voice was perceptually rated using the GRBAS scale. Objective examination included: maximum phonation time (MPT), voice spectrograms and syllable diadochokinesis on a single breath. Finally, each subject assessed his own voice using the Voice Handicap Index (VHI). The mean values of the GRBAS scale were respectively 2.4, 2.6, 2.4, 0.8, 0.5, 0.8. Mean MPT was 7.5 s, while for voice spectrograms the mean value of the Yanagihara scale was 3.7. Mean syllable diadochokinesis appeared as 3.3 syllables/s. Mean value of the VHI was 29.9. Subjective and objective data show a severely dysphonic voice after SCL; self-assessment data, on the contrary, reveal only moderate functional and emotional consequences. While perceptual, aerodynamic and acoustic data are in line with previous reports, self-assessment data were less severe in our subjects compared to what appears in the literature. It is concluded that self-assessment explores a different dimension of the patient's voice and that even if a severe dysphonia is present the consequences on everyday oral communication are only moderate.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Voice after supracricoid laryngectomy: Subjective, objective and self-assessment data

Schindler

Favero

Nudo

et al. 2005

Logopedics Phoniatrics Vocology

View full text Add to dashboard Cite

show abstract

“…8,10,11 Acoustic and aerodynamic measures are abnormal or unable to be validly measured. 8,11 Speech is intelligible, except in noisy environments, 6,12 but is characterized by an abnormal speaking rate and phrasing. 13 We undertook a pilot study to describe changes in the swallowing and vocal function of patients with SCPL over the first postoperative year.…”

Section: Introductionmentioning

confidence: 99%

Supracricoid Partial Laryngectomy: Swallowing, Voice, and Speech Outcomes

Webster

Samlan

Jones

et al. 2010

Ann Otol Rhinol Laryngol

View full text Add to dashboard Cite

show abstract

“…The results of both groups are equivalent related to speech intelligibility and voice quality. However, on the path to complete oral feeding, hemilaryngectomized patients require considerably more training in swallowing [106]. The speech findings, however, are not supported by other authors who certify speech advantage for hemilaryngectomy.…”

Section: Ability To Speak and Swallowmentioning

confidence: 77%

Refinement of the free radial forearm flap reconstructive technique after resection of large oropharyngeal malignancies with excellent functional results

et al. 2003

View full text Add to dashboard Cite

Preservation of function is a crucial aspect for the evaluation of therapies applied in the field of head and neck cancer. However, preservation of Uta Tschiesner 1 anatomic structures cannot automatically be equated with preservation 1 Clinic for Otorhinolaryngology, Ludwig Maximilians of function. Functional outcome becomes increasingly important particularly for the evaluation of alternative treatment options with equivalent oncological outcomes.University (LMU) Munich, Munich, GermanyAs a result, present studies take into account three topic areas with varying emphasis: (1) the effects of cancer therapy on essential physiological functions, (2) additional therapy-induced side-effects and complications, and (3) health-related quality of life. The present article summarizes vital aspects of clinical research from recent years. Functional outcomes after surgical and non-surgical treatment approaches are presented according to tumor localization and staging criteria. Additional methodological aspects relating to data gathering and documentation as well as challenges in implementing the results in clinical practice are also discussed.

show abstract

Voice and deglutition functions after the supracricoid and total laryngectomy procedures for advanced stage laryngeal carcinoma

Abstract: The SCL and TL surgical procedures for advanced stage laryngeal carcinoma resulted in equivalent speech and swallowing functional outcomes.

Cited by 35 publications

References 13 publications

Voice after supracricoid laryngectomy: Subjective, objective and self-assessment data

Voice after supracricoid laryngectomy: Subjective, objective and self-assessment data

Supracricoid Partial Laryngectomy: Swallowing, Voice, and Speech Outcomes

Refinement of the free radial forearm flap reconstructive technique after resection of large oropharyngeal malignancies with excellent functional results

Contact Info

Product

Resources

About