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Functional results after CO2 laser surgery compared with conventional phonosurgery

Published online by Cambridge University Press:  29 June 2007

K. Hörmann ,
A. Baker-Schreyer ,
A. Keilmann  and
G. Biermann
K. Hörmann*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, Germany.
A. Baker-Schreyer
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, Germany.
A. Keilmann
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, Germany.
G. Biermann
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, Germany.
*
Address for correspondence: Professor Dr Med. Karl Hörmann, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Mannheim, D-68135 Mannheim, Germany. Fax: 0049 621 383 3827
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Abstract

Treatment of benign vocal fold lesions by the use of the CO2 laser is discussed critically. The aim of the present prospective randomized study was to examine the post-operative functional results after laser phonosurgery in comparison to those after cold phonosurgery. In total, 44 patients with benign vocal fold lesions underwent surgery. Conventional cold phonosurgery was performed in 23 patients, and 21 patients were treated by laser phonosurgery. To determine vocal function, examinations were performed preoperatively, on the second post-operative day, and one and four months post-operatively. The examinations included direct videolaryngoscopy, determination of maximal phonation, speech voice field as well as singing voice field. The results four months after surgery showed an improvement of vocal function in both treatment groups in comparison to the pre-operative findings. The improvement is only statistically significant after cold surgery.

Keywords

LarynxVoice disordersLaser surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 2 , February 1999 , pp. 140 - 144
Copyright
Copyright © JLO (1984) Limited 1999

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References

Bouchayer, M., Cornut, B. (1992) Microsurgical treatment of benign vocal fold lesions: Indications, techniques, results. Folia phoniatrica 44: 155–184.CrossRefGoogle Scholar
Burian, K., Höfler, H. (1979) Zur mikrochirurgischen Therapie von Stimmbandcarcinomen mit dem CO2-Laser. Laryngo-Rhino-Otologie 58: 551–556.Google ScholarPubMed
Durkin, G. E., Duncavage, J. A., Toohill, R. J. (1986) Wound healing of true vocal cord squamous epithelial. Otolaryngology – Head and Neck Surgery 3: 273–277.CrossRefGoogle Scholar
Heipke, T., Pascher, W., Röhrs, M. (1987) Stimmfunktion nach Lasertherapie. HNO 35: 234–241.Google Scholar
Keilmann, A., Bergler, W., Artzt, M., Hörmann, K. (1996) Vocal function following laser and conventional surgery of small malignant vocal cord tumours. Journal of Laryngology and Otology 110: 1138–1141.CrossRefGoogle Scholar
Kleinsasser, O. (1974) Microlaryngoscopy and endolaryngeal microsurgery. II: A review of 2500 cases. HNO 22(3): 69–83.Google Scholar
Leonhard, R. J., Charpied, C., Gallia, J., Kelly, A. (1988) Effects of stripping and laser excision on vocal fold mucosa in cats. Annals of Otology, Rhinology and Laryngology 97: 159–163.CrossRefGoogle Scholar
Leden, H. V. (1994) Die Geschichte der Phonochirurgie Teil 1. HNO-Informationen 4: 17–23.Google Scholar
McGuirt, W. F., Blalock, D., Koufmann, A., Fechs, R. S., Hillard, A. J., Greveb, K., Randall, M. (1994) Comparative voice results after laser resection or irradiation of T1 vocal cord carcinoma. Archives of Otolaryngology – Head and Neck Surgery 120: 951–955.CrossRefGoogle ScholarPubMed
Motta, G., Villari, G., Motta, G. Jr., Ripa, G., Salerno, G. (1986) The CO2 laser in the laryngeal microsurgery. Acta Otolaryngologica 433 (Suppl.): 1–30.Google Scholar
Nawka, T., Anders, L. C., Wendler, J. (1994) Die auditive Beurteilung heiserer Stimmen nach dem RBH-System. Sprache, Stimme, Gehör 18: 131.Google Scholar
Rudert, H., Werner, J. A. (1994) Endoskopische Teilresektionen mit dem CO2-laser bei Larynx-Carcinomen. Laryngo-Rhino-Otolo. 73: 71–77.CrossRefGoogle Scholar
Sataloff, R. T., Spiegel, J. R., Hawkshaw, M., Jones, A. (1992) Laser surgery of the larynx: The case for caution. Ear, Nose and Throat Journal 71: 593–595.CrossRefGoogle ScholarPubMed
Shapsay, S. M., Rebeiz, E. E., Bohigian, R. K., Hybels, R. L. (1990) Benign lesions of the larynx: Should the laser be used? Laryngoscope 100: 953–957.CrossRefGoogle Scholar
Strong, M. S., Jako, G. H. (1972) Laser surgery in the larynx: early clinical experience with the continuous CO2 laser. Annals of Otology 81: 791–798.Google Scholar
Werkhaven, J., Ossoff, R. H. (1991) Surgery for benign lesions of the glottis. Otolaryngologic Clinics of North America 24: 1179–1199.CrossRefGoogle ScholarPubMed
Woo, P., Casper, J., Colton, R., Brewer, D. (1994) Aerodynamic and stroboscopic findings before and after microlaryngeal phonosurgery. Journal of Voice 8: 186–194.CrossRefGoogle ScholarPubMed
Yanagihara, N. (1967) Significance of harmonic changes and noise components in hoarseness. Journal of Speech and Hearing Research 10: 531–541.CrossRefGoogle ScholarPubMed
Zeitels, S. M. (1996) Laser versus cold instruments for microlaryngoscopic surgery. Laryngoscope 106: 545–552.Google Scholar