Voice and Functional Outcomes of Transoral Laser Microsurgery for Early Glottic Cancer: Ventricular Fold Resection as a Surrogate

Ilyes Berania, Christophe Dagenais, Sami P. Moubayed, Tareck Ayad, Marie-Jo Olivier, Louis Guertin, Eric Bissada, Jean-Claude Tabet, Apostolos Christopoulos

Abstract


Background: The aim of the study was to evaluate the oncological and functional outcomes with transoral laser microsurgery (TOLM) of patients with early glottic cancer.

Methods: We have prospectively evaluated patients treated with TOLM for Tis, T1 or T2 glottic squamous cell carcinoma. Evaluation of oncological outcomes, and voice and functional outcomes was assessed using voice-handicap index 10 (VHI-10) and performance status scale for head & neck cancer patients (PSS-H&N). Predictors of poor voice quality were evaluated using Student’s t-test.

Results: Thirty patients were included, with 17.7 months mean follow-up. There were no cases of locoregional recurrence. Twelve patients (40%) were considered as having a problematic voice outcome. Four subjects out of 30 (13.3%) had significant problems with understandability of speech. Significant differences (P < 0.05) in VHI-10 score were found with tumor stage and partial resection of the ventricular fold.

Conclusions: We report excellent oncological and functional outcomes in early glottic cancer treated with TOLM, with advanced tumors and partial resection of the ventricular fold as a surrogate predicting worse voice outcomes.




J Clin Med Res. 2015;7(8):632-636
doi: http://dx.doi.org/10.14740/jocmr2216w


Keywords


Transoral laser microsurgery; Tumor size; Functional outcomes; Quality of life

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