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Vocal function following laser and conventional surgery of small malignant vocal fold tumours

Published online by Cambridge University Press:  29 June 2007

Annerose Keilmann ,
Wolfgang Bergler ,
Martina Artzt  and
Karl Hörmann
Annerose Keilmann*
Affiliation:
Clinic for Communication Disorders, Johannes Gutenberg University, Mainz
Wolfgang Bergler
Affiliation:
Department of Otorhinolaryngology, University of Heidelberg, Mannheim, Germany
Martina Artzt
Affiliation:
Department of Otorhinolaryngology, University of Heidelberg, Mannheim, Germany
Karl Hörmann
Affiliation:
Department of Otorhinolaryngology, University of Heidelberg, Mannheim, Germany
*
Address for correspondence: PD Dr. Annerose Keilmann, Universitätsklinikum Mainz, Klinik für Kommunikationsstörungen, Langenbeckestr. 1, D-55101 Mainz, Germany. Fax: 0049 6131 17 6623
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Abstract

In the disecribed study, 26 patients after conventional, and 27 patients after laser cordectomy were examined six months or more after the operation. Videolarybogstroboscopy revealed that patients after laser cordectomy more often phonate on a purely glottic level (81 per cent) in comparison to patienbts after conventional cordectomy (19 per cent). Webs were more frequent and more extended after conventional cordectomy compared to endoscopic laser surgery. The maximal phonation time showed a very wide range with a mean value of 9 to 10 sec; there was no statistical difference between the groups of patients. Using yanagihara's classification of sonograms, a better voice quality was measured after laser cordectomy than conventional cordectomy. The patients' estimation of their voice quality did not correlate with objective parameters.

Keywords

Laryngeal neoplasmsCarcinoma, squamous cellSurgeryLaser surgeryVoice quality
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 12 , December 1996 , pp. 1138 - 1141
Copyright
Copyright © JLO (1984) Limited 1996

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