Voice quality after open partial horizontal laryngectomy vs. total laryngectomy with voice prosthesis: a comparative study

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2024年7月24日

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Cecilia Botti,
Cecilia Lotto,
Paolo Tesauro,
Monica Guidotti,
Aurora Borghi,
Gabriele Molteni,
Livio Presutti,
Ignacio Javier Fernandez

摘要

Objectives

The aim of this study is to compare voice outcomes in open partial horizontal laryngectomy vs. total laryngectomy (TL) with voice prosthesis.

Methods

In this retrospective monocentric study patients undergoing OPHL or TL with voice prosthesis were enrolled during the usual oncological follow-up consultations at the Otolaryngology and Audiology Unit of a University Hospital in the period between July 2022 and June 2023. Acoustic analysis (F0, HNR, NHR), maximum phonation time, I-SECEL and INFV0 scale were used to assess voice outcome.

Results

Forty-three patients were enrolled. Voices of patients undergoing LT were better in quality of voice (V0) at INFV0 scale. The scores in I-SECEL and acoustic analysis were comparable.

Conclusions

Voice quality could be slight better in patients undergoing TL with voice prosthesis than those undergoing OPHL.